New Client Form
(Allows for up to 3 pets)
This is an Electronic form only. Fill out and hit the Submit button.
If you cant at this time, a fillable form is available at Camp KCS at time of check-in.

* First Name

* Last Name

* Street Address

* City

* State

* Zip Code

* Phone Number

* Cell Number

* Driver's License #

* DL State

* Emergency Contact

* Emer. Contact Phone

* Owner's Email Address

* Would you like boarding confirmations by email or text message ?

Email

Text Message

Text Message Number

* Text Message Carrier

* Do you have more than one Veterinarian for your Pets ?

Yes

No

Pet #1

* Name

* Species (dog, cat, etc)

* Breed

* Color

* Sex

Female

Spayed

Male

Neutered

Birthdate

* Weight

* Your Pet(s) Veterinarian

* Veterinarian's Phone Number

Special Instructions for your pet, this should include any medical condition or medications your pet is on.

0/255 characters

* Will You have your own food?

Yes

No

* How often

AM

PM

Bowl all day

* Amount (cups)

If you have something other than dry food for your pet, please put instructions here.

* Do you have Another Pet?

Yes

No

Pet #2

* Name

* Species (dog, cat, etc)

* Breed

* Color

* Sex

Female

Spayed

Male

Neutered

Birthdate

* Weight

* Your Pet(s) Veterinarian

* Veterinarian's Phone Number

Special Instructions for your pet, this should include any medical condition or medications your pet is on.

0/255 characters

* Will You have your own food?

Yes

No

* How often

AM

Noon

PM

Bowl all day

* Amount (cups)

If you have something other than dry food for your pet, please put instructions here.

* Do you have Another Pet?

Yes

No

Pet #3

* Name

* Species (dog, cat, etc)

* Breed

* Color

* Sex

Female

Spayed

Male

Neutered

Birthdate

* Weight

* Your Pet(s) Veterinarian

* Veterinarian's Phone Number

Special Instructions for your pet, this should include any medical condition or medications your pet is on.

0/255 characters

* Will You have your own food?

Yes

No

* How often

AM

PM

Bowl all day

* Amount (cups)

If you have something other than dry food for your pet, please put instructions here.

Veterinarian Information

* Your Pet(s) Veterinarian

* Veterinarian's Phone Number

If you have your pets Vaccine Info and would like
to send it to us, please upload now.

How did you hear about us?

I certify that the above information is true and that all pertinent information about my pet has been given. I agree not to hold Camp KCS responsible for any problems that arise due to information not given. I also understand that a copy of my pets vaccines must be present at time of check-in and that all vaccines are up to date including Bordetella. By signing on the line below I agree to the terms stated above.

*

Agree

* Indicates Response Required

New Client Form (Allows for up to 3 pets) This is an Electronic form only. Fill out and hit the Submit button. If you cant at this time, a fillable form is available at Camp KCS at time of check-in.

Pet #1

Pet #2

Pet #3

Veterinarian Information

New Client Form
(Allows for up to 3 pets)
This is an Electronic form only. Fill out and hit the Submit button.
If you cant at this time, a fillable form is available at Camp KCS at time of check-in.