
REGISTRATION FORM
FAX TO (252) 441-7029 - PLEASE, No reservations or cancellations accepted via email.
Owner’s Name: _______________________________
Address: _____________________________________
Phone Number: ____________________
Dog’s Name: _____________ Weight: ___________
Breed: __________________ Sex: __ M __ F
Age: ________
Dog’s Name: _____________ Weight: ___________
Breed: __________________ Sex: __ M __ F
Age: ________
Requested boarding dates: Check in: _____ Check out:_____
Medications to be administered must be in the original prescription container. Frequency and dosage information must be clearly labeled.
Is grooming desired on the day of
pickup?
Yes___
No
___
Bedding and toys are encouraged, but please label all belongings so they may be returned to you upon checkout.
All dogs must have proof of current vaccinations, including bordetella (kennel cough) prior to check-in.