Mooresville, NC

Doggy Daycare Questionnaire Form

Please fill out the form below prior to your visit!

Owner's Name *

First

Last

Email *

Breed *

Patient Name *

Sex *

Age *

Color *

Diet

Would you like your pet to be fed while here for daycare? *

Yes
No

Medications

Is your pet on any medications that need to be given while here? *

Yes
No

If yes, please fill out the Medication List (one page per medication). This can be found on our website under Forms or can be supplied by the receptionist at the time of drop-off. Medications should be supplied by the owner, if refills are needed, the owner will be responsible for costs of the refills.

Special Instructions

Personal Belongings

Harbor Point recommends that you take your personal belongings (leach, collar, bedding, etc) home with you. If you chose to leave any personal belongings with your pet, please list them below.

List personal belongings you are leaving with us

Please note that Harbor Point is not responsible for any lost or damaged belongings.

Play

Pets are let out to play in small supervised groups. Unless otherwise specified, your dog(s) will be let out with other boarders of similar size and activity level. If your dog does not play well with others, please notify staff prior to check in so appropriate arrangements can be made. Harbor Point Animal Hospital is not responsible for injuries sustained during supervised play.

How is your pet when playing with others? *

Plays well with others
Does NOT play well with others

Owner's Signature *

Clear Signature

Date *