Customer General Information

Emergency Contact Information
      _{Please include names, addresses, phone #'s etc. of emergency contacts whom are authorised to deal with emergency situations on your behalf.}

Canine Guest General Information

 Is your dog prone to:

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Canine Behavioral Information

 Does your dog:

Please describe your dog's general temperament.
 ^{(ie: aggressive with people or other dogs, constant barking, behaviour problems etc.)}
 


How does he/she react around other dogs or strangers?
 


How does he/she react to strangers coming into your home?
 

Does his/her behaviour depend on gender, size or breed of other dogs? 
Does he/she growl when someone removes or approaches food bowl or toys? 
Has your dog ever bitten someone or another dog? 
 ^{(If so, please provide details.)} 
 

Training Information

Is your dog:       House Trained        Crate Trained 

Has he/she had any formal obedience training? 
 ^{(If so, by whom?)}
 


What commands does your dog obey/or is familiar with?
 


What type of whistles does your dog respond to?
 (ie: single sharp, double quick, clickers etc.)
 


What type of collar does your dog wear? 

  *For your pet's protection, NO choke chains, shock collars, or prong collars are allowed on premises.
   Your dog must be wearing a buckle type collar with proper identification tags, in case of any emergency situation.                          

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Meals & Leisure Time Information

Please list the brand(s) of dog food your dog prefers. 
 
# of daily feedings:   Meal portions: 
Has your dog ever had any type of reaction to a certain brand of food? 
 ^{(If so, please provide details.)}
 

How often do you walk your dog?   Is he/she allowed off leash? 
Do you bring him/her to doggie parks?   Does he/she enjoy car rides? 
How are his/her car manners? 

Does your dog enjoy:

 swimming  taking hikes  fetching balls/sticks  catching frisbees 

     playing with other canine friends  just finding a quiet corner 

Please list any other activities your dog enjoys.


What does your dog sleep on and where? 

Grooming Information

Do you take your dog to the groomers?   How often? 
Does he/she require frequent brushing?   How often? 

How does he/she react to brushings?
    Enjoys  Not Fussy  Does Not Enjoy  Hates Brushings 

How does he/she react to nail trimmings?
    Not Fussy  Does Not Enjoy  Hates Nail Trimmings 

How does he/she react to bathing?
    Enjoys  Not Fussy  Does Not Enjoy  Hates Bathing 

What type of shampoo(s) do you generally use? 

Has he/she ever had a skin reaction to certain types of shampoo? 
 ^{(If so, please provide details.)}

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Medical Information

 Veterinarian    [Select a veterinarian from our list or provide your veterinarian information] [Veterinarian Information Not Available]Ajax Animal Hospital Dr. Laura KirkladyAlison NorwichAlison Sutton DVM - Rice Lake Animal HospitalAllandale Veterinary HospitalAndover Animal HospitalAnimal Hospital of High ParkAnnex Animal HospitalArdiel Animal Clinic \ Dr. Cindy LennoxAshbridges Bay Animal HospitalBanks Animal Clinic (Dr. Pusong)Bathurst Dupont Animal Hospital Dr KoroknaiBay Dog HospitalBeaches Animal HospitalBeardall Animal HospitalBeatties Pet HospitalBell Animal HospitalBellamy Lawrence Animal HospitalBelleway Veterinary HosipalBernie CaplanBickford Park Animal Hospital Big Bay Animal Hospital P.CBloor Street Animal HospitalBloor West Village Animal HospitalBloorcourt Veterinary ClinicBlue Cross Animal HospitalBoard Walk ClinicBoardwalk Animal Hospital Dr James YoungBrealey drive animal clinic Brealy Drive Animal ClinicBrelmar Veterinarian ClinicBriarwood Animal HospitalBridletown Warden Animal HospitalBridlewood Animal HospitalBrimley-Lawrence Animal Clinic / Dr. Paul KahlanBronte Road Animal Hospital / Dieter SchmidtBurham Mansion Animal HospitalBurnham mansionCampbellford VetCampbellford Veterinary ServicesCanary District Animal Hospital / Dr. Ellen Kinzl or Dr. Branka GruborCataraqui Pet HospitalCavan Hills Vet ClinicCavan Hills Veterinary ServicesCedarbrae Animal ClinicCentretown Veterinary HospitalChamplain Animal HospitalChapman Mills Animal HospitalCindy KneeboneClarington Animal Hospital- Dr Jackie BosakClinique Vétérinaire Plateau Mont RoyalClinique Vétérinaire Plateau Mont RoyalClinique Vétérinaire Plateau Mont RoyalCloverdale vetColeman Veterinary HospitalCollege Manor Veterinary HospitalCollins Bay VetCoxwell ACoxwell Animal ClinicDale Road Vet ServicesDanforth Veterinary Clinic / Dr Judy AuDarlington Vetrinary Hospital, Dr. Robert Burns DVMDavenport Road Animal HospitalDe Featherstone Dixie Eglinton Animal clinicDownsview Veterinary Hospital Dr S WazirDowntown Animal HospitalDr Saini Junction West Animal HospitalDr Toman Prince Edward Animal HospitalDr. Darren Honest Bayview Village Veterinary ClinicDr. Gabrielle Hoffman & Associates/Bay Dog HospitalDr. HoogersDr. Jenn WangDr. Jennifer Merry DVM Clappison Animal HospitalDr. KneeboneDr. KneeboneDr. Lindsay Paterson Dr. Littlejohn, Woodbine Animal ClinicDr. Robert ReidDr. Sheila Dr. Tibor TomanDr. Uta Straube Arva Animal ClinicDr. WhyteDufferin Queen Animal ClinicDufferin Veterinary HospitalDundas West Animal HospitalEagen Fife Animal HospitalEagles Landing Animal HospitalEast York Animal ClinicEdwards Lakeside Veterinary ClinicEglinton Veterinary Facilities English Lineenglish line vetEnglish line VetEnglish Line Veterinary ServicesEstero Animal Hospital Dr Marc KanchukFerguson Veterinary ServicesForest Brook Pet Hospital Dr. RajForest Hill Animal ClinicFoster Park Pet HospitalFoxboro Vet ClinicFront Street Animal HospitalGANARASKA ANIMAL CLINICGanaraska Animal ClinicGoldenvale Vet ClinicGreen Lane Animal HospitalGreenbank Animal HospitalGreenwood Park Animal HospitalHaliburton Veterinary Services - Drs Joan Grant & Laura BrownHastings Veterinary Hospital Dr HeagleHealing Hands Animal HospitalHeritage Animal HospitalHickson vetrinary ServicesHigh Street Animal Hospital Highway 7 Veterinary Hospital ...Dr. Adrienne ThomsonHillcrest Animal Hospital (Dr. Steen)Hofmann Veterinary ClinicHometown Vet ClinicHopital veterinaire de la MontagneJackson Creek Veterinary ServicesJane Animal HospitalJane Animal HospitalJeffKennedy Road Veernary HospitalKew Beach Veterinary HospitalKingston Road AnimalKingston Veterinary ClinicKingsway Animal HospitalKingWest Vets / Dr Kent AckermanKirkton Veterinary ClinicLaird Eglinton Pet HospitalLawrence Park Animal HospitalLawrence Veterinary ClinicLeaside Animal ClinicLennox Animal HospitalLeslie Street Animal HospitalLeslieville Animal HospitalLeslieville Animal HospitalLiberty Village Animal HospitalLong Branch Animal ClinicLoyalist Veterinary HospitalMarina Animal Hospital / Dr Farzad GhaziMartins Veterinary HospitalMasonville Animal HospitalMcGilvray Veterinary Hospital Dr. Darren MarksMcGilvray Veterinary Hospital - Dr. OwenMcNeely Animal Hospital- Dr. MagdaMidtown Animal HospitalMidtown Animal HospitalMississippi Mills Animal HospitalMoira Veterinary Clinic / Dr. Christopher TummonMorris Veterinary HospitalMount Albert Veterinary HospitalMount Pleasant Davisville Veterinary HospitalNapanee Veterinary Hospital, Catherine Bonneau or any veterinarian thereNewcastle Veterinary ClinicNewmarket Animal Hospital, Dr. PorterNorthumberland Veterinary Corp (Lex)Norwood VetNorwood Veterinary ServicesNorwood Veterinary ServicesNorwood Veterinary Services
Dr Yarko MulkewytchNorwood Veterniray ServiceNorwood Vetrinary ServicesOrcahrd Grove Animal ClinicOrono Veterinary Hospital - Dr. StephensonOtonabee Animal HospitalOttawa Vet clinicPark hill Animal hospitalParkdale Animal Hospital-Gary RosnickPenetang Vet HospitalPet Vet Credit Valley HospitalPeterborough Pet Hospital Peterborough Pet HospitalPeterborough Veterinary ServicesPickering Animal HospitalPine Ridge Veterinary ClinicPort Hope Veterinarian ServicesPort Hope Veterinary Emergency Clinic ServicesPort Perry Animal HospitalPresquille Animal HospitalPrince Edward Animal HospitalPrince Edward Animal Hospital - Dr. Steve JamesQueen West Animal HospitalQuinte Animal HospitalRathburn Animal Clinicrenforth vent clinic Renforth VetRenforth Veterinary ClinicRenforth Veterinary ClinicRice lake animal hospital Rice Lake Animal HospitalRichview Animal HospitalRideau Animal HospitalRitson Vet Clinic (Dr. Peter Hoogers)Riverdale Animal HospitalRoncesvalles Animal Hospital-Dr. Henry SkutelskiRoncy Village Veterinary Clinic - Dr. Johnson or Dr. CostanRosedale Animal HospitalRosedale Animal HospitalRosedale Moore Park Veterinary ClinicRouge Valley Veterinary HospitalRoyal York Animal HospitalRoyal York Animal HospitalSecord Animal HospitalSherbourne Animal HospitalSherbrook Heights Animal HospitalSheridan VeterinarianSkyway Animal HospitalSouth Etobicoke Animal HospitalSpinks Veterinary ClinicSt. Clair Veterinary Dr HannahSt. Francis Animal ClinicSt. George Mill Vet Hospital St. Lawrence Valley Animal HospitalStirling Veterinary ServicesStrathy Road Animal Clinic ( Dr. Matthew Wyszynski)The Animal ClinicThe animal clinicThe Animal ClinicThe Animal Clinic - Dr. Matthew RichardsonThe Mutual Street Animal Clinic - John Rhys Thickson Road Pet HospitalThousand Islands Vet ServicesTomken-Rathburn Veterinary ClinicToronto Animal ServicesTown and Country Animal HospitalTrenton Pet Hospital Dr. Jinni DemineUpper Bathurst Animal Clinic - Dr Eldad WUpper Village Veterinary HospitalUsher Animal HospitalUxbridge Veterinarian HospitalVanier Animal Hospital Dr. ButlerVCA Canada Lakeshore Animal HospitalVca northumberland animal hospital VCA Rosedale Animal HospitalVerona Animal HospitalVillage animal hospitalWatzin, Dr, Sandra WatzinWeston Veterinary Clinic Dr PaulWestway Animal ClinicWhitby Animal HospitalWillowdale Animal HospitalWoodbine Animal ClinicWychwood Park Animal HospitalYonge Davenport Vet Clinic Yonge Street Animal Hospital , Dr. Michael BelovichYork Mills Animal Hospital

Clinic/Doctor:
      Address:
         City: Province: Postal Code:
    Phone/Fax:
    Email/Web:

 Vaccinations        *We do require proof of all up to date vaccinations.

  Please list the most recent dates of the following vaccinations:

    Please list any other physical or medical conditions and any medication instructions.

*If, in our judgement, your dog requires medical care, you agree to be solely responsible for the payment of all medical bills incurred for your dog, and that you release Regal Dogs Resort, its officers, directors, agents, and employees from any and all responsibility for, or claims, damages, debts, arising out of or related to such medical care, including but not limited to, transportation to and from the veterinarian clinic and choice of animal hospital.

Please list any additional information that you feel may be useful to ensure a pleasant stay for your dog.

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Release Information

Regal Dogs Resort is authorized to release your dog to the following person(s) with the proper I.D.
(Any contacts listed in the Emergency Contact section shall be considered to be authorized agents.)

*You may verbally (by telephone) or in written form (fax or otherwise) request that Regal Dogs Resort release your dog to someone other than the person(s) listed above, and that you release Regal Dogs Resort from any and all responsibility for releasing your dog to any person(s) Regal Dogs Resort believes to be authorized by yourself.

 *Please check to agree to above notice:

Final Reservation Information

If you require our limousine service, please provide the pickup and/or drop off locations.
^{*Transportation services are subject to an additional charge.}

 Pickup from:
 Pickup from Customer address.
 Customer will drop off at our location.


 Drop off to:
 Drop off to Customer address.
 Customer will pickup at our location.

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                          House Policies

 Dated this ______________________.                      Signature ______________________

• As a final procaution, please enter a password to serve as a final confirmation (minimum 6 characters). This will also be your password for accessing your booking information through the Members section of our web site. Once your reservation has been processed, you will receive an email with detailed instructions on how to access and change your information through the Members page.