Reservations

Untitled
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Cell Phone #*
Work #
Home #
Email
How did you hear about us?*
- Google
- Yellow Pages
- Newspaper/Magazine
- Car Decals
- Referral
- Other
If Referral or Other
Has your camper(s) ever used board/day camp services before?*
- Yes
- No
If Yes, please indicate which camper:
- Camper #1
- Camper #2
- Camper #3
- Camper #4
Veterinarian Contact
Veterinarian Hospital
Veterinarian Phone #
Dog Information
Camper #1
Name*
Breed
Color*
Weight*
Birth Date
MM slash DD slash YYYY
Sex*
- Male
- Female
Spayed/Neutered*
- Yes
- No
Camper #2
Name
Breed
Color
Weight
Birth Date
MM slash DD slash YYYY
Sex
- Male
- Female
Spayed/Neutered
- Yes
- No
Camper #3
Name
Breed
Color
Weight
Birth Date
MM slash DD slash YYYY
Sex
- Male
- Female
Spayed/Neutered
- Yes
- No
Camper #4
Name
Breed
Color
Weight
Birth Date
MM slash DD slash YYYY
Sex
- Male
- Female
Spayed/Neutered
- Yes
- No
Camper Behavior Questions: Please indicate CAMPER # 1, 2, 3 or 4 when answering the following questions if filling out for more than one Camper. Please answer the following questions as accurately as possible.
Is there any PERSON, type of DOG, or SITUATION your dog seems to have a problem with?*
- Yes
- No
If Yes, Please describe:
Camper #1
Camper #2
Camper #3
Camper #4
How long have you had your Camper?
Camper #1*
Camper #2
Camper #3
Camper #4
Where did you get your Camper?
Camper #1*
Camper #2
Camper #3
Camper #4
Has your Camper ever growled or bit another PERSON or DOG?*

Yes

No
If yes, what were the circumstances?
Camper #1
Camper #2
Camper #3
Camper #4
Can you take a food or toy item away from your Camper without him growling?

Yes

No
If No, Please indicate which Camper:
Camper #1
Camper #2
Camper #3
Camper #4
Will your Camper readily share toys with other dogs?*

Yes

No
If No, Please indicate which Camper:
Camper #1
Camper #2
Camper #3
Camper #4
Are there any areas on your Camper’s body where they DO NOT like to be touched?*

Yes

No
If Yes, Please indicate which Camper:
Camper #1
Camper #2
Camper #3
Camper #4
Has your Camper ever jumped a fence or barrier?*

Yes

No
If Yes, Please indicate which Camper:
Camper #1
Camper #2
Camper #3
Camper #4
Is your Camper a digger?*

Yes

No
If Yes, Please indicate which Camper:
Camper #1
Camper #2
Camper #3
Camper #4
Are there any restrictions that should be placed on your Camper’s activities?*

Yes

No
If Yes, Please describe:
Camper #1
Camper #2
Camper #3
Camper #4
Has your Camper ever socialized with a large group of dogs (5-8)?*

Yes

No
If No, Please indicate which Camper:
Camper #1
Camper #2
Camper #3
Camper #4
Has your Camper ever played with dog’s less than 15 lbs.?*

Yes

No
What else should we know about our future Camper?
Camper #1
Camper #2
Camper #3
Camper #4
Medications: Please list all Medications:
Name of Camper #1
Medication Name
Choose Times:
Morning
Afternoon
Evening
Quantity/Dosage
Medication Name
Choose Times:
Morning
Afternoon
Evening
Quantity/Dosage
Medication Name
Choose Times:
Morning
Afternoon
Evening
Name of Camper #2
Medication Name
Choose Times:
Morning
Afternoon
Evening
Quantity/Dosage
Medication Name
Choose Times:
Morning
Afternoon
Evening
Quantity/Dosage
Medication Name
Choose Times:
Morning
Afternoon
Evening
Quantity/Dosage
Name of Camper #3
Medication Name
Choose Times:
Morning
Afternoon
Evening
Quantity/Dosage
Medication Name
Choose Times:
Morning
Afternoon
Evening
Quantity/Dosage
Medication Name
Choose Times:
Morning
Afternoon
Evening
Name of Camper #4
Medication Name
Choose Times:
Morning
Afternoon
Evening
Medication Name
Choose Times:
Morning
Afternoon
Evening
Quantity/Dosage
Medication Name
Choose Times:
Morning
Afternoon
Evening
Quantity/Dosage
Feedings: Client Provided - Brand Name
Camper #1
Morning Quantity
Special Instructions
Afternoon Quantity
Special Instructions
Evening Quantity
Special Instructions
Camper #2
Morning Quantity
Special Instructions
Afternoon Quantity
Special Instructions
Evening Quantity
Special Instructions
Camper #3
Morning Quantity
Special Instructions
Afternoon Quantity
Special Instructions
Evening Quantity
Special Instructions
Camper #4
Morning Quantity
Special Instructions
Afternoon Quantity
Special Instructions
Evening Quantity
Special Instructions
Can your Camper(s) have special treats provided by Bradbury Boarding Camp Luxury Pet Lodge & Country Resort?*

Yes

No
If No, Please indicate which Camper:
Camper #1
Camper #2
Camper #3
Camper #4
Local/Emergency Contact: (someone to call if your Camper is exhibiting excessive, unruly behavior OR in case of a BBC staff member emergency)
Name*
Relationship*
Cell #*
Work #
Payment Method for Day and Overnight Camp Fees, we accept credit, debit and cash.
Persons Authorized to Drop Off and/or Pick Up My Camper(s)*
I, the undersigned, hereby acknowledge and agree that I have read, understand and agree to all terms and conditions contained in the Camp Policies, Procedures, and Waiver of Liability, Assumption of Risk and Indemnification Agreement (the Agreement), as they may be amended from time to time, which are attached and fully incorporated into this application. I hereby execute the Agreement for my dog, myself and my heirs, successors, representatives and assigns.
I further attest that if I am owner or representative*
I agree to the following terms and conditions relating to the Daycamp and/or Boarding of one or more of my dogs at Bradbury Boarding Camp LLC*
Yes
I agree to the terms and conditions set forth above and agree and accept Bradbury Boarding Camp, LLC Camp Policies, Procedures, Waiver of Liability, Assumption of Risk and Indemnification Agreement.*
Yes
Name
First Last
Date
MM slash DD slash YYYY

For Our New Clients:

For Our Existing Clients:

Bradbury Boarding Camp Luxury Pet Lodge & Country Resort – Camper Application