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

5019 McKinney Avenue, Dallas, TX 75205
Phone: 214-526-2033 Fax: 214-526-2036
Wellness Center Hours: Mon-Fri 8am-6pm
Country Retreat Drop-off Only: Saturday 8am-10am
Country Retreat Pick-up Hours: Mon-Fri 3pm-6pm

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.

Please note that all items with an asterisk ( * ) are REQUIRED.

OWNER INFORMATION
Owner's Name(s): *
Email Address: *
Street Address: *

City, State, Zip: *

Please include Area Codes
Home Phone: *
Work Phone:
Cell/Mobile Phone:

Emergency Information
Emergency Contact Name: *
Emergency Contact Phone: *

How did you learn about Canine Country Club and Wellness Center?
	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 pets must be current on their vaccinations prior to boarding. Proof of current Rabies (1 or 3 year), DHPP (1 or 3 year), Leptospirosis (1 year), Bordetella (6 months), both sets of Canine Influenza (after 2nd booster good for 1 year), Negative Fecal Test (1 year), Negative Heartworm Test (1 year). All pets receive a Capstar upon entrance and exit. This is a 24 hour flea pill that does not interfere with your monthly flea preventative. In addition we are required to give each pet a general dewormer to ensure that your pet and our facility remain flea and parasite free. The cost of these medications will total $27.00. We will waive the dewormer if you provide us with your pets monthly dewormer (IE Sentinel, Interceptor, Revolution, etc). We must administer the medication in our facility in order to waive this.

PET 1 Information on at least one pet is required for form submission, but please include each pet separately below.
Pet's Name: *
Type of Pet: *
Breed/Pet Color:
Gender: *
Is your pet neutered or spayed? *
Age of Pet: *
Pet's Current Diet (Brand), including treats: *
How much/many per day: *
Pet's exercise routine, how many walks/playtime, amount per day: *
Has your pet been to any other boarding facilities or day care? *
Previous medical history, surgeries, or illnesses: *
Date of Last Vaccination: *
Name of Flea Prevention: *
Name of Heartworm Prevention: *
Other medications including name of medication and dosage:
Is your pet microchipped? *
Microchip # if available:

PET 2
Pet's Name: *
Type of Pet: *
Breed/Pet Color:
Gender: *
Is your pet neutered or spayed? *
Age of Pet: *
Pet's Current Diet (Brand), including treats: *
How much/many per day: *
Pet's exercise routine, how many walks/playtime, amount per day: *
Has your pet been to any other boarding facilities or day care? *
Previous medical history, surgeries, or illnesses: *
Date of Last Vaccination: *
Name of Flea Prevention: *
Name of Heartworm Prevention: *
Other medications including name of medication and dosage:
Is your pet microchipped? *
Microchip # if available:

PET 3
Pet's Name: *
Type of Pet: *
Breed/Pet Color:
Gender: *
Is your pet neutered or spayed? *
Age of Pet: *
Pet's Current Diet (Brand), including treats: *
How much/many per day: *
Pet's exercise routine, how many walks/playtime, amount per day: *
Has your pet been to any other boarding facilities or day care? *
Previous medical history, surgeries, or illnesses: *
Date of Last Vaccination: *
Name of Flea Prevention: *
Name of Heartworm Prevention: *
Other medications including name of medication and dosage:
Is your pet microchipped? *
Microchip # if available:


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 an email notification that your message was sent within a few minutes. Please wait 48 hours to receive a reservation confirmation email from our office.

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