Wee Doggies B&B - Enrollment/Agreement Form
 

Owner's Information
First Name:                                         Last Name:
Home Phone:                                     Cell Phone:
Work Phone:                                     Fax Number:
Email Address:

Owner's Home Address:



Home Pickup Instructions:

Home Drop-Off Instructions:

Emergency Contact:                             Relation :

Reach Number(s):
At least one emergency contact is required even if it's just your own cell phone.


Vet :                                                         Clinic:
Address:                                 Phone:                

How Did You Hear of us?

Days/Dates Desired:
From (Home Pick-Up)    To (Home Drop-Off)
1.
2.


DOG PROFILE
Name:                                 Breed/Desc.:
Weight:             lbs.                 Sex:
Birthdate:                             Spayed/Neutered:

Health Issues:
(include allergies)

Regular Medications/Reasons:

Ever Aggressive? 
Excessive Barker? 
Last rabies date:                     Last dhlpp date:
Last bordatella date:                 Last fecal/neg. result:
________________________________

CLIENT AGREEMENT

* My dog(s) is/are at least 12 weeks old; under 25 lb. in weight; friendly and social with other dogs and
people; spayed/neutered and in excellent health.  I understand that, with any significant display of aggression or
behavior issue as determined by us, my dog may be separated from the remainder of the group and penned for the
duration of the stay.

* Before each reservation, I will provide Wee Doggies B&B with vet records validating that my dog is current on
rabies, dhlpp, and bordatella vaccines and has had a fecal test with a negative result in the past year.

* My dog will be fed premium dog food, or I will send my own food from home (dry food in sealed bags).

* I'll provide any medications in sealed bags with dosage and storage instructions--plus the reason for
administering--at pick-up.

* I authorize Wee Doggies to use its best judgment in treating any illness or injury using a vet of its choice,
for which I will pay. I understand the inherent risks of outdoors and dog play, and waive any claim against Wee
Doggies B&B's owners, employees, agents and clients.

* I authorize photography of my dog for use in Wee Doggie's promotion.

* I will pay $20 cancellation fee if cancellation is not called in by 4:00 PM the prior business day.

I understand and agree to the above terms and conditions.
Please enroll my dog(s) in the Wee Doggies guest roster.   (I will submit the Guest Registration Form separately)


_________________________________
Signature of Pet Owner