Puerto Rico Dogs - Boarding Registration

Guardian and Dog Information

Name of Guardian:

Refered by:

Address: City:  State: Zip:

Home Phone:    Work Phone: Cel Phone:

Email:

How did you hear about Puerto Rico Dogs?: 

Service Description

Arrival Date and Time: 

Departure Date and Time: 

Dog Information

Name:  Date of birth:

Breed: Sex: Choose... Male Female Sterilized?: Choose.... Yes No

Where did you acquire your dog?: Choose... Breeder Pet Shop Rescue Other

Acquire other:

Any medical conditions or allergies? (ex. arthritis, dysplacia, ear infection, surgeries, etc.):     Choose... Yes No   

What medical conditions? :

Emergency Information

Trip location: 

Trip location contact information:

Emergency Contact: 

Emergency Contact Phone: 

Alternate Emergency Contact:

Alternate Emergency Contact Phone: 

Veterinarian Office / Veterinarian Name:

Veterinarian Phone: 

Directions to get to veterinarian office:

Dog's Medications: 

Reasons for medication: 

Important notes on medical history: 

Food Instructions

 
Regular food / daily quantity and times / Treats / Diet restrictions / Additional notes:

Behavior Instructions

Known behavioral issues:

Special Notes on behavioral issues:

List of items for the dog:

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