New Client Form If you prefer, you can download this form for print, return by email to info@sunlandacres.com Note: the information submitted is for internal use only and is not shared or sold to any other parties. “*” = Required Fields About You Owner's Name* Owner's Phone* Your Email* Co-Owner's Name Co-Owner's Phone Emergency Contact (Name) Emergency Contact's Relationship (Friend? Family? Etc.) Emergency Phone Address City State Zip About Your Pet For additional pets, please see below. Pet's Name* Breed* Color* Date of Birth* Male or Female* MaleFemale Spayed/Neutered?* YesNo Approximate Weight* Does your pet have any medical, physical, emotional issues, sensitivities, or concerns we should know about? These may include allergies, prior surgeries, hip or joint issues, ear infections or skin problems. Has your pet ever been aggressive toward a caregiver? YesNo Has your pet ever been aggressive toward other dogs? YesNo Will dogs share a room or be in separate rooms? (Same price either way)* ShareSeparate Feeding Instructions: OnceTwiceMore Will you provide food or have us provide our house food? Sunland Acres House FoodWill Provide Food How Much Per Meal? Are treats OK? YesNo If your pet is not eating properly, is it OK to supplement with chicken broth or wet food? YesNo Medications: Name of Medication Dosage & frequency for each pet Veterinarian: Vet. Phone: Use the following optional area for additional pet boarding. For more than 3 total pet submissions, please contact us. Add Second Pet:Yes Pet #2 Name Pet's Name* Breed* Color* Date of Birth* Male or Female* MaleFemale Spayed/Neutered?* YesNo Approximate Weight* Does your pet have any medical, physical, emotional issues, sensitivities, or concerns we should know about? These may include allergies, prior surgeries, hip or joint issues, ear infections or skin problems. Has your pet ever been aggressive toward a caregiver? YesNo Has your pet ever been aggressive toward other dogs? YesNo Will dogs share a room or be in separate rooms? (Same price either way)* ShareSeparate Feeding Instructions: OnceTwiceMore Will you provide food or have us provide our house food? Sunland Acres House FoodWill Provide Food How Much Per Meal? Are treats OK? YesNo If your pet is not eating properly, is it OK to supplement with chicken broth or wet food? YesNo Medications: Name of Medication Dosage & frequency for each pet Veterinarian: Vet. Phone: Add Third Pet:Yes Pet #3 Pet's Name* Breed* Color* Date of Birth* Male or Female* MaleFemale Spayed/Neutered?* YesNo Approximate Weight* Does your pet have any medical, physical, emotional issues, sensitivities, or concerns we should know about? These may include allergies, prior surgeries, hip or joint issues, ear infections or skin problems. Has your pet ever been aggressive toward a caregiver? YesNo Has your pet ever been aggressive toward other dogs? YesNo Will dogs share a room or be in separate rooms? (Same price either way)* ShareSeparate Feeding Instructions: OnceTwiceMore Will you provide food or have us provide our house food? Sunland Acres House FoodWill Provide Food How Much Per Meal? Are treats OK? YesNo If your pet is not eating properly, is it OK to supplement with chicken broth or wet food? YesNo Medications: Name of Medication Dosage & frequency for each pet Veterinarian: Vet. Phone: Vaccinations You may upload copies of your current vaccination record(s) along with this form submission. Allowable file types: jpeg, jpg, pdf - Max uploads per submission = 10 Can we send you our quarterly newsletter? YesNo May we photograph your pet(s) for promotional purposes? YesNo How did you hear about Sunland Acres? Web search? Friend or Family? Something else? Please take a moment to let us know how you found us. Policies and Disclaimer: Sunland Acres pledges to give appropriate care to all who stay with us. We will not be liable for any dogs that become ill or injured while under our care. In the unlikely event that your dog develops an illness or injury, we will call you for further instructions. Sunland Acres will not be responsible for conditions that can be unavoidable in boarding environments such as, but not limited to, weight loss, hot spots, cough, bloat, diarrhea, canine influenza, parvo, parasites, seizures and sudden death. I acknowledge that in the event of my pet's illness, the staff at Sunland Acres may not be able to immediately contact me and is therefore authorized to initiate appropriate treatment of my pet(s) until I am available to discuss further care and costs with the attending veterinarian. I certify that my pet(s) appear to be free of contagious diseases, including external parasites. I understand that if my pets have been found to have external parasites, they will be treated and my account will be charged accordingly. I also certify that my pet is current on all required vaccination(s.) Accept Terms* I understand and agree:* *Required to enable "Send" button below.
