DOG KIDZ EMAIL RESERVATION

NEW TO DOG KIDZ? PLEASE CALL US. We must speak with any first time customer. You are welcome to fill out the form but we won't schedule it until we speak with you. We also need a one night deposit. Thank you for understanding.

Please allow 24 hours for email response. In a hurry? Call us at 772-388-2200

* First Name

* Last Name (you may skip other info if we already have you on file)

Street Address

Address Line 2

City

State

Zip Code

Phone Number

* Email Address

About the Kidz

* First Kidz Name

Breed

Sex

Second Kidz Name

Breed

Sex

Third Kidz Name

Breed

Sex

Fourth Kidz Name

Breed

Sex

Rabies, DHLPP, and Bordetella are required. You can ask your vet to fax the vaccine record to 772.388.2281. You may also use this space for any comments or other information.

Daycare Only Reservation

Date

Drop Off Time

Pick Up Time

Boarding (with or without Daycare) Reservation

Drop Off Date

Drop Off Time

Pick Up Date

Pick Up Time

Daycare while boarding?

For my cat(s) I would prefer:

Transportation Please!

Date

Pick up my kidz at my home around this time:

Date

Bring back around this time:

Grooming, Spas, Baths, & Meals

Check here for Flea Dip Yes

Select Shampoo from List

Good Kidz Meal (Ground Turkey & Rice, Chicken Stew, Beef Stew, & Gourmet Frosties) Yes-will discuss No

If you would like to come in just for a Bath, Spa, or Groom please call us to arrange.
772-388-2200.

In the box below, please type in the numbers and letters you see. *

* Indicates Response Required