Pick Up Form

Easy Pick Up

Our Board and Train program is a great experience for you and your dog. It’s what we’re passionate about, but to do our very best job we need to have the most up-to-date information for your pet. The form below is required to ensure we have all of the details that we need. Please take a moment to fill it out and, if you have any questions, feel free to contact us.

"*" indicates required fields

Your Information

Name*

First Last

Address*

Street Address Address Line 2 City State ZIP Code

Phone*

Email Address*

Emergency Contact

First Name*

Last Name*

Address*

Street Address Address Line 2 City State ZIP Code

Phone*

Email Address*

Pet Information

Name*

Feeding Instructions

Example: 1 cup 2x daily

Would you like a water bowl in the crate?

Yes

No

Would you like bedding in the crate?

Yes

No

Medications being provided?

Yes

No

Vet Records

Drop files here or

Max. file size: 8 MB.

What behavioral issues would you like addressed during training?

Signing up multiple dogs?

Yes

No

Training Agreement

I certify that I am the owner of the pet(s) stated above. I hereby grant permission to Carolina Canine Consulting to act on my behalf and in my pet's best interest by obtaining veterinary or other care at my expense, if deemed necessary, for illness or injury occurring to this pet(s). I further agree to pay for all veterinary and other necessary services incurred by and for my pet(s) during its stay and under the direct care and supervision of Carolina Canine Consulting whether in the privacy of thier own home or in public. Carolina Canine Consulting strives to provide exceptional, professional care to prevent injury or illness to my pet(s). However, in the event of illness or injury to my pet(s), Carolina Canine Consulting shall not be held liable for any injury or damages arising out of or related to such injury or illness.

First Name*

Last Name*

Date*

Consent*

I agree to the privacy policy.

Signature*

Comments

This field is for validation purposes and should be left unchanged.