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Pre-Boarding Information

You must complete a Pre-Board Information form before you can board your dog.  You can print this blank form and fill it out or you can fill it out online with a valid email address and then click the SUBMIT button to send it to Karen's Canines.  Thank you!

Boarding Information

Boarding Dates:   Dates Confirmed with Karen? YES    NO

Pet Information

Dog's Name:   Gender: Male  Female
Neutered/Spayed: Yes  No   Dog's Age:
Breed:   Description:
Vet's Name:   Vet's Number:

Owner Information

Owners Name: Address:
City, State, ZIP   Home Number:
Work Number: Cell Number:
Your email Address: Vacation Number, if possible:

Emergency Contact

Emergency Name: Emergency Home Number:
Relation to You: Emergency Work Number:
Emergency Cell Number:    
       
   
Question Answer Explain or describe if necessary
Does your pet react to storms? Yes  No
Is your pet a fence climber? Yes  No
Any significant allergies? Yes  No
Handicaps (Trouble walking, etc.)? Yes  No
Eye, ear or skin problems? Yes  No
Recent vomiting, diarrhea, constipation or trouble urinating? Yes  No
Any other comments or instructions:

Be sure to click the SUBMIT FORM button to send the form.  You will receive a confirmation page containing your input upon completion.  You can print the confirmation.

Thank you for visiting karenscanines.com. 
4110 Kane Rd.  Carleton, MI  48117  734-654-6258
email Karen: canine@dundee.net

webmaster: schroederwallace at verizon dot net