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. Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Full Name *Phone Number *Email Address *Full Address *In case of an emergencyEmergency Contact Name * Emergency Contact Phone Number *Local Emergency Contact Name (someone that won't be traveling with you)Local Emergency Contact Primary PhoneHow did you hear about us? *Dogs Name *Age *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 yesAny current illness, injury, or recent surgery? *Any medications? Include dosage + instructionsVet NameVet Phone NumberHas your dog shown aggression toward: Dogs *YesNoHas your dog shown aggression toward: People *YesNoSeparation anxiety? *YesNoFeeding Instructions: Example: Feed 1 cup twice daily (please bring your own food) *Example: Feed 1 cup twice dailySleep setup (crate/dog bed/free roam) *CrateDog bedFree roamFull 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 yesAny 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 yesAny medications? Include dosage + instructionsFeeding Instructions: Example: Feed 1 cup twice daily (please bring your own food)Full Behavioral Notes (temperament, aggression, any type of anxiety, notable quirks etc.) Emergency Include Vet 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 refundMy dog is safe to be around other dogs and people unless disclosed aboveI understand this is an in-home boarding environmentI accept responsibility for any damages or incidents caused by my dogI authorize emergency veterinary care if needed and agree to cover associated costsI 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.FINAL REQUIRED CHECK *My booking is not confirmed until this form is completed and reviewedComplete to Confirm Booking