Intake / Registration Form

1

Client Information

Primary contact

Owner full name *

Phone number *

Email address *

Home address *

Emergency contact name *

Emergency contact phone *

Relationship to dog *

2

Dog Information

About your dog

Dog's name *

Breed *

Colour / markings

Date of birth / age

Weight

Sex *

Spayed / neutered *

Microchipped

3

Veterinary Information

Health records

Veterinarian / clinic name *

Clinic phone number *

Clinic address

Vaccination status *

Vaccines confirmed (check all that apply)

RabiesDHPPBordetellaOther

Upload vaccination / vet records

Optional — attach photos or PDFs of rabies, DHPP, bordetella, or other vet documentation.

Choose file

4

Behaviour & Care

Temperament & needs

Attended daycare/boarding before? *

Comfortable around other dogs? *

Comfortable around new people? *

History of bites, aggression, or fear-based reactions? *

Feeding instructions (food brand, amount, timing)

Medications (name, dose & timing)

Allergies or medical conditions

Special care notes

5

Sleeping Arrangement / Overnight Routine

Helps us set up the right space

Sleeping arrangement (check all that apply)

Nighttime notes — anxiety, barking, accidents, or special routine?

6

Post-Op / Recovery Care

Current medical recovery

Is your dog currently recovering from surgery, injury, spay/neuter, or any medical procedure?

Post-op or high-maintenance care may require an additional daily care fee. See the Family Waiver & Service Agreement for details.

7

Photo & Media Permission

How may we use photos of your dog?

Private updates only — texts/emails/private client updatesPrivate updates plus social media / marketingNo photos, please

8

Services & Referral

Services requested and how you heard about us

9

Owner Responsibility Acknowledgement

Please read and confirm

I understand that additional care fees and damage-related costs may apply according to Ruffstar policies, see the Family Waiver & Service Agreement. *

10

Authorization

Please read and confirm

"I confirm that the information provided is accurate and complete to the best of my knowledge. I understand that my dog's participation is subject to a temperament assessment and facility policies. I authorize staff to seek emergency veterinary care if necessary and agree to be responsible for associated costs."

I have read and agree to the authorization above. *

11

Signature & Date

Sign to submit

Sign with your finger or mouse

Print name *

Date *

Owner & Dog Registration Form