Nauset Kennels

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Please note: You must also read and agree to a separate online Customer Agreement (PDF) before enrolling your pet. All fields required.

Pet's Name:
	Dog Cat
Color:
	Male Female
Date of Birth:	MM/DD/YYYY
	Neutered Spayed
Breed:

+ Add Additional Pet (Optional)

Pet's Name
	Dog Cat
Color
	Male Female
Date of Birth	MM/DD/YYYY
	Neutered Spayed
Breed:

+ Add Additional Pet (Optional)

Pet's Name
	Dog Cat
Color
	Male Female
Date of Birth	MM/DD/YYYY
	Neutered Spayed
Breed:

 

Owner/Responsible Party's Name:
Physical Address:
City:
State:	Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming
Zip:

Specify Mailing Address (if different)

Mailing Address:
City:
State:	Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming
Zip:

Telephone Number:
Cell Phone Number:
Email:
	*We ask for email as an alternate form of contact for confirming reservations, providing updates or information about your pet, and sending the occasional coupon or kennel information. Our intent is not to bother you or waste your time!

In the event of an emergency please call:
Veterinarian Clinic:
Veterinarian Phone Number:

Please Tell Us About Your Pet

If you have multiple pets, please indicate which pet you are referring to in your answers.

1. Has your dog or cat ever bitten a person? If yes, please explain.
2. Has your dog ever bitten or been in an altercation with another dog? If yes, explain and give circumstances.
3.To your knowledge, has your dog ever jumped or scaled a fence? If so, please explain.
4.Has your dog ever been "kicked out" of another kennel, day care, dog park or grooming establishment? If so, please explain.
5. Does your dog or cat have any allergies, food or otherwise?
6. We believe strongly in socializing our pets. Please let us know if your dog has experience with other dogs, either through dog parks, neighbor's dogs, etc.
7. Please tell us a bit about your pet(s), good and bad, that will give us a better understanding of his or her temperament, behavior, and needs.

Signature: By entering my initials below, I indicate that I have read the Customer Agreement and understand the terms and conditions of boarding my pet.
Initials

©2010 Nauset Pet Services 2685 Nauset Road Eastham, MA 02642

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