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Dog Boarding Request Form

Owner Information

Emergency Contact Information

Dog Information

Dog #1

Sex
Male
Female
Spayed/Neutered
Yes
No

Veterinary Information

Vaccination Status

Vaccinations

Boarding Details

Requested drop-off date & time
Month
Day
Year
Time
HoursMinutes
Requested pick-up date & time
Month
Day
Year
Time
HoursMinutes
Boarding preferences
Items being brought

Behavior & Care Information

Is your dog friendly with other dogs?
Yes
No
Unsure
Has your dog ever shown aggression?
Yes
No

Boarding Agreement

I understand that Country Living Canines reserves the right to refuse boarding services for any dog displaying dangerous behavior or lacking required vaccinations. I certify that the information provided is accurate and agree to the boarding policies established by Country Living Canines.

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Date
Month
Day
Year
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