Boarding Application

Has your pet stayed with us in the past year?

Have you completed this application form in the past year?

Please Provide an Emergency Contact Name and Phone Number?

How did you hear about Godbey Creek Canine Rescue?

Who is authorized to pick up your pet? (names and Phone Numbers)

What is your pets Breed?

What is your pet's gender?

What is your pet's age?

What is your pet's color or Color Combination?

Describe any distinguishing markings?

Please provide your pets Microchip number, Company, and Phone Number?

Is there any descriptive information you would like to provide for your pet?

Do you want your pet hand walked or Play pasture?

Does your pet bolt while on a leash?

Can or will your pet climb a fence?

Has your pet ever bitten anyone?

Is your pet spayed or neutered? (yes this is a duplicate)

If you have one or more pet do you want them boarded together in the same kennel?

Is your pet on Medication?

What is your Pets Name?

Is your pet on Flea/Tick Medication?

Please list your pets medications, How many tablets, frequency, and any other instructions?

We feed Twice a Day (Morning 8am and Evening 6pm).

How many Cups does your pet get in the AM (8 AM)?

We feed Twice a Day (Morning 8am and Evening 6pm).

How many Cups does your pet get in the PM (6 PM)?

Do you have any special instructions for your pet for this stay and list any items that return home with your pet? (toys, Medications, Etc..)

Is your pet Current for their rabies Vaccination (within 1 year for first vaccination and 3 years for Subsequent vaccinations) and Bordetella vaccination (within past year)?

When was your pets last Distemper Parvo Vaccination and where/who administered it?

When was your pets last Rabies Vaccination and where/who administered it?

When was your pets last Bordetella Vaccination and where/who administered it?

Please provide your pets heartworm prevention protocol?
If your dog is not on a Heartworm prevention that incudes intestinal parasites, we will require a negative fecal from your veterinarian!

The State of North Carolina REQUIRES proof of the following immunizations for every pet on site.
*Parvo and Distemper
*Rabies
*Bordetella
We require that you send us copies of the veterinary records at least one week ahead of each visit. Please upload your pets vet records using the upload link below:

What is the name of your Veterivarian? (Doctor Name or Clinic)

What is your Veterinarians phone Number?

What is your veterinarian's street address including City, State and Zip?

What Date will your pet be checking in with us?

What time will you be checking your pet in?

What date will your pet be checking out?

What time will you be picking up your pet?

Terms and Conditions:
I will be charged for all nights that I have reserved for my dog unless the change has been communicated at least 48 hours prior to check in.
I authorize Godbey Creek Canine Rescue to transport my dog to a licensed veterinarian to medical evaluation and or treatment should it be deemed necessary by the Godbey Creek Canine Staff. I understand that I will be responsible for all charges related to the medical evaluation and/or treatment
I understand and agree that it is my responsibility to inform staff members if my pet has any aggressive tendencies or behavioral issues.
I understand and agree that Godbey Creek Canine Rescue and their staff and volunteers will not be liable financially or otherwise for any problems that develop, if professional care and precautions are followed while my pet is placed at Godbey Creek Canine Rescue. Therefore, Godbey Creek Canine Rescue and its staff and volunteers are exempt of any liability whatsoever arising from my dogs' attendance at Godbey Creek Canine Rescue's Boarding Facility.
I give permission for my dog to be photographed or recorded on video and used in any advertising or media without prior approval by me. All such materials are the sole property of Godbey Creek Canine Rescue.

Please read and Acknowledge:
Godbey Creek Canine Rescue Always does its best to Accommodate my Boarding needs, but I understand that UNTIL I receive a BOARDING CONFIRMATION from info@godbeycreekcaninerescue.org, I do NOT have a reservation to board my pet with Godbey Creek Canine Rescue

I acknowledge that all the information in this application is accurate to the best of my knowledge.