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Boarding Intake Form
Inside Your Dog’s Stay

Home
Before You Book
Book Now
Policies
Boarding Intake Form
Inside Your Dog’s Stay

Boarding Intake Form

Required Boarding Intake Form Per Pet (Complete to Confirm Booking)

Thank You/Next Steps

Completion of this form confirms that you have read and agreed to all policies. Bookings are not finalized until this form is submitted.

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Full Name *

Phone Number *

Email Address *

Full Address *

In case of an emergency

Emergency Contact Name *

Emergency Contact Phone Number *

Local Emergency Contact Name (someone that won't be traveling with you)

Local Emergency Contact Primary Phone

How did you hear about us? *

Dogs Name *

Age *

How many months or years is your pet

Breed (or mix/unknown) *

Weight *

Gender *

Spayed/Neutered *

Does your dog have any mobility or vision limitations? *

Please describe any mobility or vision limitations if yes

Any current illness, injury, or recent surgery? *

Any medications? Include dosage + instructions

Vet Name

Vet Phone Number

Has your dog shown aggression toward: Dogs *

Yes
No

Has your dog shown aggression toward: People *

Yes
No

Separation anxiety? *

Yes
No

Feeding Instructions: Example: Feed 1 cup twice daily (please bring your own food) *

Example: Feed 1 cup twice daily

Sleep setup (crate/dog bed/free roam) *

Crate
Dog bed
Free roam

3) Include any

Full Behavioral Notes (temperament, aggression, any type of anxiety, notable quirks etc.) *

Dogs Name (pet number 2)

Age (pet number 2)

Breed (pet number 2)

Weight (pet number 2)

Gender (pet number 2)

Spayed/Neutered? (pet number 2)

Does your dog have any mobility or vision limitations? (pet number 2)

Please describe any mobility or vision limitations if yes

Any medications? Include dosage + instructions (pet number 2)

Feeding Instructions: Example: Feed 1 cup twice daily (please bring your own food) (pet number 2)

Full Behavioral Notes (temperament, aggression, any type of anxiety, notable quirks etc.)

Dogs Name (pet number 3)

Age (pet number 3)

Breed (pet number 3)

Weight (pet number 3)

Gender (pet number 3)

Spayed/Neutered (pet number 3)

Does your dog have any mobility or vision limitations?

Please describe any mobility or vision limitations if yes

Any medications? Include dosage + instructions

Feeding Instructions: Example: Feed 1 cup twice daily (please bring your own food)

Full Behavioral Notes (temperament, aggression, any type of anxiety, notable quirks etc.)

I confirm that: *

All information provided is accurate and complete, and I understand that failure to disclose behavioral or medical issues may result in removal from care without a refund
My dog is safe to be around other dogs and people unless disclosed above
I understand this is an in-home boarding environment
I accept responsibility for any damages or incidents caused by my dog
I authorize emergency veterinary care if needed and agree to cover associated costs
I understand this form is required to finalize my booking and I have read and agree to the Keller Dog Boarding Policies and Client Agreement, including all terms related to care, safety, liability, payment, and behavior.
I understand that boarding is charged in 24-hour increments based on my selected drop-off time. Any time beyond the 24-hour period is automatically billed at a prorated hourly rate. Late pickups or missed appointment windows will result in additional charges.
I confirm my dog is healthy, non-aggressive, and fit for boarding. I understand that boarding environments carry inherent risks and I accept Keller Dog Boarding is not responsible for stress-related illness, injury, or behavioral changes unless due to gross negligence.
I agree to all Keller Dog Boarding policies, including drop-off/pick-up timing, payment requirements, cancellation policy, and the right to refuse or terminate service if necessary.
I understand that all bookings are final based on the dates and times selected at checkout. It is the client’s responsibility to ensure all booking details are correct prior to payment. Refunds will not be issued for booking errors, including incorrect dates or times.
I agree to contact Keller Dog Boarding directly to resolve any billing concerns prior to initiating a payment dispute with my bank or card provider. Unauthorized disputes may result in additional fees and refusal of future services.

FINAL REQUIRED CHECK *

My booking is not confirmed until this form is completed and reviewed

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