Customer information form
Please feel free to print & fill out before bring your pet
Name ___________________________________
Address ___________________________________
Home Phone # ________________ Cell _________________ Email __________________________
Emergency contact name & phone # _________________________________________
Dog(s)/cat(s) NAME ___________________ BREED_____________________
NAME ___________________ BREED_____________________
NAME ___________________ BREED_____________________
NAME ___________________BREED_____________________
Veterinarians name _____________________ Phone # ___________________________
If my pet is injured do all you can immediately or up to $_________ YES NO
stabilize & do not precede without my authorization YES NO
Is your dog good with other dogs? YES NO
If no, please explain (e.g. my dog does not like little/big dogs etc)
Is your dog/cat good with kids? YES NO
Is your dog/cat good with adults? YES NO
If no, please explain.
Does your dog/cat have any allergies? YES NO
Does your dog/cat require medication? YES NO
Anything else you think we should know about your dog/cat (e.g. he digs, or climbs ect.)
I will be providing my pets food/treats during their stay at TWQ Kennels. YES NO
FEEDING SCHEDULE AM NOON PM
Kennel agreement
We at TWQ Kennels pride ourselves in taking excellent care of all your pets’ needs and requirements for a safe and happy stay. However, things can happen that are out of our control, please sign the following agreement prior to your pets vacation stay with us here at TWQ Kennels.
We will not be held responsible for any accident/injury/illness your pet may sustain or cause during their stay with us at TWQ Kennels. Any or all veterinarian costs will be billed to you upon pick-up and/or are your full responsibility after pick-up.
I __________________ am aware that in an emergency TWQ Kennels will transport my pet to the nearest veterinary clinic for any necessary medical/emergency. I __________________also understand that there will be a minimum of $50.00 charge for the transportation of my pet for any necessary medical/emergency.
If your pet is unmanageable or unhealthy you will be contacted to arrange for immediate pick-up of your pet(s) and your pet(s) will not be allowed back to our kennel unless permitted at TWQ Kennels discretion. It is your responsibility to inform TWQ Kennels of any issues or concerns that may arise with your pet during their stay with us. (e.g. no treats, fear of water, stress licker etc.)
It is our responsibility here at TWQ kennels to ensure the following; maintaining a constant cleanliness of all indoor/outdoor kennels, an endless supply of clean fresh water, feeding schedule as arranged, and all pets to be exercised accordingly. Our biggest and most important job is to genuinely love your pet while providing safety, affection, and fun! Your pets stay with us is promised to be a happy one that they won’t soon forget!
Pet owner’s Signature
Print name ___________________________ Signature _________________________
Print name ___________________________ Signature _________________________
Please understand we here at TWQ Kennels are not a adoption/drop off centre, any pets abandoned here for more than two weeks past the expected pick-up day with out notification from the owners will be sent to the SPCA with a unknown out come for their future and that the owner will be held responsible for any & all costs.