Island Miniature Schnauzers

Boarding Request Form

Name: (required)

Phone: (required)

Cell:

Dog's name:

DOB:

Spayed?YesNo

Neutered?YesNo

Do you wish you dog to have a Benebone Wishbone Dog Chew Bone in her/his carrier?
YesNo

Email address: (required)

Boarding dates: (required)

Date of last flea medication application: (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)

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

I understand that my dog may pick up a bacterium or bacteria from around the Farm or from romping in the forest. Sometimes this may cause diarrhea/vomiting and you may need to take your dog to the Vet for medication. IMS is not responsible for any resulting Vet bills.
Yes, I understand that IMS is not responsible for any resulting Vet bills.

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