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26436 13th Avenue
Aldergrove, BC, V4W 2S4
(604) 856-4321
(604) 857-BARK (2275)
Fax: (604) 856-2111
rzilke@shaw.ca

 

 

 

 

 

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You Leave 'em
We Love 'em

Please use this form to pre-register your pet with us for boarding. If you are boarding more than one pet please fill in the required information for each animal. After you submit the form below for the first pet you may return to this form and just change the pet's information and resubmit.Thank-you 

Owner's Name

 

Address

 

City

 

PC/Zip Code

 

Prov/State

 

Home Phone

 -

Fax

 -

Email

 

Pet's Name

 

Pet's Age

 

Pet's Sex

Female      Male

Pet's Colour

 

Neutered/Spayed

Yes     No

Breed

 

Veterinarian

 

Vet's Phone

 -

Required:
DHLP3A2 & Parvovirus

Date Vaccinated: M  D  Y

Required:
Bordatella

Date Vaccinated: M  D  Y

Required:
Rabies

Date Vaccinated: M  D  Y

Optional:
Heart Worm

Date Vaccinated: M  D  Y

Please tell us what dates you are interested in having your dog stay with us:

Start date

 

End date

 

Type of Boarding

In-home kennel     Regular kennel

Additional Requests/Comments

 
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