Please complete this form, print it & bring it with you to Dogma.
• If you do not have a printer, you can complete this form at check-in.
•If you prefer to send this information electronically, please email it to us as an attachment at info@dogmdogcare.com
All information is confidential and is to be used for the purpose of caring for your pet
Owner Name: ___________________________ Best Contact Phone: ______________________
Dog(s) Name(s): _________________________________________________________________________ Arrival Date _________ Arrival Time ________________
Departure Date: __________ Departure Time: _________ Additional charge applies after 1pm
Sunday _____________________ $10 flat rate for Sunday pickup
Dogma Den or Suite
Please circle:
DEN $46/first dog, $27/additional dog(s)
SUITE $56/first dog, $37/additional dog(s)
Is Your Dog Private Care? YES / NO Additional charge applies–$10/day per dog
Bath options: Please circle:
BASIC: wash & towel dry
DELUXE: basic bath PLUS nail trim & ear cleaning PLUS conditioning spritz scent
GROOM: by appointment
(special: 15% off BATH or GROOM after 5+ nights stay)
Walks? _____ Nap Time? ________
Evening Constitutional ($5/walk)_______ or Power Play ($10/walk)_______
FEEDING INSTRUCTIONS:
All food must be pre-bagged and labeled – if not additional charge applies
Brand of Food: _________________________ Description: ________________________ Refrigeration required? Y / N
Portion Size:
Breakfast: _____________ Lunch: _____________Dinner: _____________
Which meal are we feeding your dog the first day?
Breakfast: _____________ Lunch: _____________Dinner: _____________
Treats:___________________ Distribution Schedule:__________________________________
If your pet is not eating, may we add something to their food? __________
Broth, peanut butter
Allergies?_________________________________________
PROPERTY:
Describe any items being checked in: ____________________________
Please do NOT bring any bedding, toys, or bowls; bedding and bowls are provided by Dogma
PLEASE COMPLETE REVERSE MEDICATION: $2 per dose, $3 injections
Medication Name: ___________________________________________________________________________________________________________________________________________________________________________________________________________________________
Distribution Schedule: ___________________________________________________________________________________________________________________________________________________________________________________________________________________________
Condition: ___________________________________________________________________________________________________________________________________________________________________________________________________________________________
Dose: ___________________________________________________________________________________________________________________________________________________________________________________________________________________________
*Dogma will ONLY accept the meds required for each pet’s stay. No additional meds may be left.
Any Special Instructions? _____________________________________________________________________________________________________________________________________________________________________________________
Who else may we contact if we can’t reach you in an emergency?
Name: ________________________________ Best Contact Phone: _____________________ Is anyone other than yourself authorized/visit to pick up your pet? Yes □ No □
Name(s):_________________________________________________________________
Owner Signature ____________________________________________________________
Phone:___________________________
Date ____________________________