Daycare – NEW Client Only Form

If you and your pet have been clients of Cascade Hospital for Animals or Breton Village Animal Clinic in the past, please call our office to reserve a spot at our Crate Escape Doggie Daycare. If you are new to Cascade Hospital for Animals, please fill out the form below. Please note: you must call our office to schedule a daycare reservation after completing this form.

Name

Spouse's Name

Address

City

State

ZIP Code

Primary Phone

Work Phone

Primary Cell Phone

Email Address

Spouse's Cell Phone

If we were a personal recommendation, who may we thank?

Who is your pet's primary vet?

Pet's Name

Breed

Date of birth (Please note: Dogs must be at least 5 months of age to attend daycare):

Color

Sex Male Female

Altered? (Please note: Dogs must be spayed/neutered by 7 months of age to attend daycare)

Dogs attending daycare must be up to date on: Rabies vaccine, distemper vaccine, bordetella vaccine, influenza vaccine, and have a negative fecal exam within 6 months.
Please upload your pet's vaccine records here.

Please note: all vaccinations must be up to date prior to booking a daycare reservation.

Yes! Please subscribe me to CHFA's monthly e-newsletter.

I agree that all information is accurate.

Please verify