Boarding Application    ~    Canine Campus       38322 Delafield Rd  ~  Oconomowoc, WI 53066 Phone: (262) 244-7549  ~  Fax: (262) 244-0786
CONTACT INFORMATION
Owner's Name
Street Address
City, State
Zip Code
Phone
Cell Phone
Work Phone
E-Mail Address
Emergency Contact
Contact's Phone
Veterinarian
Vet's Phone
ABOUT YOUR PET
Pet's Name
Date Of Birth or Age
Spayed/Neutered	Yes No
Gender	Male Female
Breed
Color
Is your pet TOTALLY house broken?	Yes No
Does he Urine Mark?	Yes No
Doe your pet have a tendency to eat foreign material off the ground?	Yes No
Where is your pet kept when you are not at home?	Free in house Crated Outside Limited to one area od house Other
Has your pet been boarded before?	Yes No
Does you pet get upset when you leave?	Yes No
How long is your pet used to being alone?  (hrs)
Does your pet dig?	Yes No
Does your pet attempt to jump fences?	Yes No
Does your pet like to chew on blankets, carpets, furniture, or people?	Yes No
What medication does your pet take?
How does your pet react to other people? (Select all that apply using Ctrl+Click to make multiple selections)	Friendly Hesitant Runs away or tries to hide Growls Would bite if reached for
How does your pet react to other animals?
Has your pet ever bitten another animal or person?	Yes No
Does your pet require muzzling at the veterinarian?	Yes No
Overall, would you say your pet is? (Select one)	Confident and adaptable Shy and submissive Aggressive
Any other information you would like to give us that would make your pet's stay more comfortable or safer?
Referred by:
What dates are you considering boarding your pet?	From --Select One-- January February March April May June July August September October November December --- 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 2008 2009 2010 2011 2012 To    --Select One-- January February March April May June July August September October November December --- 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 2008 2009 2010 2011 2012

Please print a copy of this page for your records by selecting the "Print" function from your browser's tool bar.
Then click on "Submit" button to send this form to Canine Campus.  Thank you!

If you wish you can mail your completed application to:
Canine Campus
38322 Delafield Road
Oconomowoc, WI 53066

Please call us if you haven't heard anything within 24 hours of submitting this form. Phone: (262) 244-7549