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Intake Form
Please provide detailed information regarding your interest in Westrock Kennels
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Email
*
Your email
First and last name
*
Your answer
Phone number
*
Your answer
What service are you interested in?
*
training only
training with boarding
boarding only
What is your dog's name?
*
Your answer
How old is your dog?
*
Your answer
What breed is your dog?
*
Your answer
Sex:
*
male
female
Required
Reproductive:
*
spayed/ neutered
intact
If your female is intact, when was the beginning of her last cycle?
Please note we do not take females in active heat or ones who may come into heat during their stay with us
Your answer
Has your dog displayed aggression towards humans or other animals? If so, please explain:
*
Your answer
Does your dog have a tendency to jump fences?
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yes
no
Please describe any dietary concerns or allergies:
*
Your answer
For boarding, list what you feed your dog, how much, and how often:
Your answer
Will your dog require any medication administration? Please include medication, dose, frequency, and for how many days:
Please note, we only intake dogs that are healthy and free from acute illness
Your answer
Please list any current/ previous medical conditions, diseases or injuries.
Your answer
List the specific dates you are looking to board your dog. For board and train clients, let us know if this is flexible.
Your answer
Emergency contact name and phone number
*
Your emergency contact must be someone local and available who could represent you if you were unreachable.
Your answer
Is there anything else you feel important for us to know?
Your answer
How did you hear about us?
Your answer
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