Canine Country Club - dog boarding, doggie day care, dog grooming in Dallas Texas

Day Spa and Country Club Dropoff: 5019 McKinney Avenue, Dallas, TX 75205
Phone: 214-526-2033 Fax: 214-526-2036
Day Spa Hours: Mon-Fri 8am-6pm
Country Club Drop-off: Mon-Sat 8am-10am Country Club Pick-up: Mon-Fri 3pm-6pm

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ADOPT A PET!

Canine Country Club
NEW GUEST RESERVATION FORM

NOTE: If you've stayed with us before and your contact information is still current, you can click here to make a reservation.

OWNER INFORMATION
Pet Owner's Name(s):
Email Address (required):
Street Address:
City, State, Zip:

Please include Area Codes
Home Phone (required):
Work Phone:
Cell/Mobile Phone:

Emergency Information
Emergency Contact Name:
Emergency Contact Phone:

How did you learn about Canine Country Club?
	Referral by friend or family member	Whom may we thank for the referral?
	Highland Park Animal Clinic/Hospital
	Canine Country Club website
	Walk-in
	Yellow Pages
	Other	Please specify other:

RESERVATION DATE
Drop-off days and times: Monday through Saturday 8 am - 10 am Pick-up days and times: Monday through Friday 3 pm - 6 pm
Desired Drop-Off Date:
Desired Pick-Up Date:

PET INFORMATION
Please fax a copy of vaccinations to 214-526-2036 prior to boarding or bring a copy when dropping off your pet for boarding. All guests must be current on their vaccinations prior to boarding. This includes Rabies, DHLPPC, intestinal parasite screen and a negative heartworm test result all within the past year. Bordatella is also required and must be current within the past 6 months.

PET 1
Pet's Name:
Type of Pet:
If dog, please specify breed:
Gender:
Is your pet neutered or spayed?
Age of Pet:
Date of Last Vaccination:
Type of Flea Control Used:

PET 2
Pet's Name:
Type of Pet:
If dog, please specify breed:
Gender:
Is your pet neutered or spayed?
Age of Pet:
Date of Last Vaccination:
Type of Flea Control Used:

PET 3
Pet's Name:
Type of Pet:
If dog, please specify breed:
Gender:
Is your pet neutered or spayed?
Age of Pet:
Date of Last Vaccination:
Type of Flea Control Used:


Vet Information
Veterinarian's Name:
Veterinarian's Phone:

Special Comments/Concerns
Is there anything special we should know about your pet(s)?
You will receive a confirmation email within 24 hours of sending this form.



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