Emergency Medical Release *

As the owner and pet parent of the above listed dog, I understand that there are inherent risks to bringing my dog to a resort. In the event of serious injury and/or illness, I hereby give consent to Barking Ranch Pet Resort and its employees to act on my behalf, in the event that we cannot be contacted, to authorize and/or refuse any necessary medical treatment while under the care of the aforementioned. I understand that I will be responsible for any and all costs incurred for such treatment.

Health

Profile

Veterinarian's Name:

If yes, please describe the situation:

Dog Pet Profile

Please fill out the form below for each pet that will be visiting Barking Ranch. This will help us know more about your pet prior to their stay.

Hospital/Clinic Name: *

Emergency Policy *

I understand and agree to the following: In case of any emergency situation or injury, you will be contacted immediately. If we are unable to reach you or your emergency contact and if immediate medical attention is required, we will transport your dog to Brenham Veterinary Hospital, unless otherwise instructed by you or your emergency contact. If the situation does not require immediate attention, you will be contacted and advised of the situation and we will follow your instructions.

If yes, please describe the experience:

If other animals are in your household, please decribe how your dog gets along with them:

Any problem areas or behaviors we should know about?

What does your dog do to show he/she is happy?

Breed *

If yes, please describe the experience:

* *

I understand the above listed vaccinations are required for my pet to stay at Barking Ranch Pet Resort.

Are there any other special needs, comments, or information about your dog that you feel might be helpful to ensure your dog's experience at Barking Ranch is the best possible?

Is your dog fearful or reactive around certain types of dogs or people?

Age

Pet's Name: *

Has your dog ever been to a dog park?

Yes

Has your dog ever bitten a person?

Yes

Does your dog have any sensitive areas on his/her body?

Is your dog: *

Male

Female

Please list any current medications your dog is taking and the frequency and time administered:

Has your dog ever bitten another dog?

Yes

Vaccinations

Weight

Please describe your dog's general health. Include any current medical conditions of which we should be aware:

What does your dog do to show he/she is stressed?

Pet Owner Name: *

Is your dog spayed or neutered: *

Yes

Has your dog ever been boarded before?

Yes

If yes, please describe the situation:

Dog Boarding Kennel in Brenham