Boarding Request Form

Name: (required)

Phone: (required)

Cell:

Dog's name:

DOB:

Spayed?YesNo

Neutered?YesNo

Email address: (required)

Boarding dates: (required)

Date of last flea medication application: (required)

November 2018 - Leptospirosis has turned up in Sooke, therefore this vaccination is mandatory before you bring your dog in for boarding. Please keep in mind that there is a booster for this vaccination, so you need 2 months to fulfill this vaccination prior to bringing your dog to the farm. Thank you, Beverley

Dates of Leptospirosis vaccination: (required)

Dates of Bordetella vaccination (Kennel Cough): (required)

Dates of Parvovirus vaccination: (required)

Dates of Distemper vaccination: (required)

Dates of Adenovirus vaccination: (required)

Dates of Parainfluenza vaccination: (required)

Pick up and Delivery Service: (choose one)
Yes, pick up and deliverNo pick up and delivery

If yes, pick and delivery is fulfilled at 12:00 noon.

If no, the drop off time is 11:00 am.

The pick up time is 11:00 am.

Do you require grooming services? $60

Please choose a grooming preference:
Traditional Miniature SchnauzerSummer BreezeTeddy BearNo grooming required

Your dog will self romp up in our forest and get very dirty. Do you want him/her to get a bath before the return date? The price is $30. (When we give your dog a bath, we are required to comb/brush out her/his coat first. This takes up to 1/2 of labour).
YesNo

Do you want your dog's nails trimmed? The price is $10
If your dog's nails are long, we will trim them and invoice you the price.
YesNo

I understand that the dogs who reside and board at Island Miniature Schnauzers are let off leash throughout the day and I understand the risks that come with this.
Yes, I understand and agree to the off-leash risks

Should my pet need medical attention, Island Miniature Schnauzers has my permission to take him/her to Sooke Veterinary Hospital if necessary during this stay and any other future stays at the farm.
Yes, I agree to the medical attention policy

Please provide your dog's CRD license # (found on the dog tag):

In case of a medical emergency, please provide the following information.

Your Cell #:
Your Text #:

With these numbers, we will be able to contact you to obtain your credit card # for any vetting expense. Your credit card # will only be used in a medical emergency and once you receive your dog back your credit card# will be disposed of.

Thank you for your understanding. Beverley