Golden Lake Recreational Pet Camp

All new clients must complete this form, in addition to the Reservation Form. A link to the Reservation Form will be provided, after this form is submitted.
Client Information:
Name:	Name is required.
E-mail:	E-mail is required.Invalid format.
Street address:
City:
State:
Zip:
Home phone:
Work phone:
Cell phone:
Fax:
Pet Information:
Pet's name:
Birthday:
Weight:
Breed:
Sex:	Male or Female
Spayed or neutered?	Yes or No
Pet's Medical Information:
Vet clinic name:
Vet's name:
Medication:
Heartworm given? Yes or No	Date given (if yes):
Flea prevention given? Yes or No	Date given (if yes):
Other medications (ear meds, eye meds, thyroid meds, allergy meds, rimadyl, glycoflex, phenobarbital for seizures, etc.)
Diet & Feeding:
Brand of food (Iams, Science Diet, Nutromax, Pro Plan, other):
Type of food (puppy, adult, low calorie, etc.):
Number of feeding times per day:
Amount per feeding:
Treats:	Biscuits Rice cakes Carrots
Additional Comments:
Examples: food spiller, water spiller, sloppy drinker, afraid of thunderstorms, afraid of vacuum, afraid of loud noises, good with other dogs, good with people, loves to be held, etc.

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