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Check In Form

THE PAMPERED POOCH

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Vacation retreat and grooming studio

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Date: __________________

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PET:

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NAME ____________________________ AGE ____ BREED ____________________________

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COLOR____________________________ M Fr

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OWNER:

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NAME_________________________________________________________________________

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ADDRESS______________________________________________________________________

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PHONE ___________________ CELL __________________ E-MAIL _______________________

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VETERINARIAN ________________________________________ PHONE ___________________

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EMERGENCY CONTACT # ____________________ NAME ________________________________

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PLAYS WELL WITH OTHERS YES NO

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TOY POSSESSIVE YES NO

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SEPARATION ANXIETY YES NO

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TEMPERAMENT: i.e. Destructive behavior, scared of thunder...

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______________________________________________________________________________

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______________________________________________________________________________

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ACTIVITY LEVEL: _______________________________________________________________

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SPECIAL NEEDS: _______________________________________________________________

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CAN WE GIVE YOUR POOCH A TREAT AT NAP TIMES: YES NO

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FEEDING/amount: ________________________

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AM _________________________________ PM _____________________________________

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MEDICATION: _________________________________________________________________

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ALLERGY: ____________________________________________________________________

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UP TO DATE VACATION COPY: ________________ NEUTERED: SPAYED:

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ADDITIONAL INFORMATION:

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CANCELLATION POLICY 48 hours

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We understand that people need to cancel appointments and emergencies happen and plans change. We ask that you please give us 48 hours notice prior to your appointment. 

 

Please be advised that failure to provide 48 hours notice before a cancelled reservation for your pooch will result in a 50% charge. ​

Thank you for your understanding.

 © 2010 Pampered Pooch Retreat all rights reserved 
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