Board and Train Request Form | Courteous Canine

What are your preferred dates for scheduling your dog’s board and train stay? If open availability, please indicate.

Name: *

First

Last

Email: *

Phone: *

Address:

City

State

Zip

Preferred Contact Method:

Phone call

OtherOther

Emergency Contact: The Emergency Contact must be able to pick up and care for your dog in the event of an emergency during their stay.

First

Last

Number

Name:

Breed or Breed Mix:

Age:

Weight:

Sex:

Altered Status

If unaltered, will your dog be altered by the time of their stay?

If unaltered, does your dog present with urine marking or mounting behaviors? Please describe.

Please describe your dog's medical status (health history, medical conditions, healthy, etc.):

Please list any food allergies or restrictions:

Please list all treat and toy preferences:

Veterinarian:

Veterinarian's Phone Number: