Book Exploration Vacation Please fill out the form below and someone will be in contact soon! Name * First Name Last Name Phone * (###) ### #### Email * Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Emergency Contact Information Emergency Contact Name * Please provide a contact other than yourself and ensure this person is not going to be away with you during your absence. Emergency Contact Relationship * Emergency Contact Phone Number * Veterinary Information Veterinarian Name * Veterinarian Address * Veterinarian Phone Number * Pup 1 Dog's Name * Breed * Date of Birth * Is this your dog's first time at WildFree Canine? * Yes No Gender * Is your dog spayed/neutered? * We accept intact males but are unable to accommodate intact females past the age of 8 months Food Brand * To make life easier, would you prefer that WildFree Canine feeds your dog during their Exploration Vacation? * Includes both raw and high quality kibble. $10/day flat rate and feeding based on activity level. Yes! No - I'll pack my dog's food Does your dog have allergies? If yes, please describe and list any medications your dog is taking (if any). * Social Skills * How is your dog's recall? * Has your dog ever bit a person? If yes, please explain * Has your dog ever bit an animal? If yes, please explain * Is your dog a fear biter? * Yes No Pup 2 Dog's Name Breed Date of Birth Gender Is this your dog's first time at WildFree Canine? Yes No Is your dog spayed/neutered? We accept intact males but are unable to accommodate intact females past the age of 8 months Food Brand To make life easier, would you prefer that WildFree Canine feeds your dog during their Exploration Vacation? Includes both raw and high quality kibble. $10/day flat rate and feeding based on activity level. Yes! No, I'll pack my dog's food Does your dog have allergies? If yes, please describe and list any medications your dog is taking (if any). Social Skills How is your dog's recall? Has your dog ever bit a person? If yes, please explain Has your dog ever bit an animal? If yes, please explain Is your dog a fear biter? Yes No Pup 3 Dog's Name Breed Date of Birth Gender Is this your dog's first time at WildFree Canine? Yes No Is your dog spayed/neutered? We accept intact males but are unable to accommodate intact females past the age of 8 months Food Brand To make life easier, would you prefer that WildFree Canine feeds your dog during their Exploration Vacation? Includes both raw and high quality kibble. $10/day flat rate and feeding based on activity level. Yes! No, I'll pack my dog's food Does your dog have allergies? If yes, please describe and list any medications your dog is taking (if any). Social Skills How is your dog's recall? Has your dog ever bit a person? If yes, please explain Has your dog ever bit an animal? If yes, please explain Is your dog a fear biter? Yes No Exploration Vacation Services What dates are you looking to book? Start Date * MM DD YYYY End Date * MM DD YYYY Do you require a Shuttle Service? * Complimentary Shuttle Service to: -From your home in Sundre, Olds and surrounding areas with a NO minimum Exploration Vacation Booking - From your home in Red Deer, Bowden, Innisfail, Cremona, Calgary, Airdrie, Okotoks, Cochrane and surrounding areas with a 7 night minimum Exploration Vacation Booking OR on Mondays and Thursdays - Otherwise the cost $150.00 + GST, round trip. This is a flat rate and Jax will drive anywhere within 2 hours of the Wild Free Farm Yes No Would you like to add a bath or groom with Wiggles & Washes to your dog’s Exploration Vacation? * At the end of their stay, your dog will be shuttled to Wiggles & Washes for a bath or groom, and you will pick them up directly from there. If you haven’t already booked shuttle service, a $75 one-way fee will be applied. Please note that this booking does not confirm your appointment, we will confirm availability with Wiggles & Washes before finalizing. Please see the Price List for Wiggles & Washes on the Exploration Vacation Page Yes please - Bath & Brush Yes please - Bath & Tidy Yes please - Full Haircut No If you are dropping off, please choose a drop off time: 5am 6am 7am 8am 9am 10am 11am 12pm If you are picking up, please choose a pick up time: 5am 6am 7am 8am 9am 10am 11am noon To be mindful of Jax’s work life balance, there are specified pick-up and drop off. If you are late and arrive to either pick up or drop off outside of these time windows, there will be a $50 Late Pick Up Fee charged on your invoice. Please be respectful and try your best to plan ahead so that Jax can schedule her time accordingly. Thank you in advance!! Is your dog(s) prone to escaping? If yes, please explain * ie: crates, kennels, yards, houses, etc. How did you hear about WildFree Canine Inc. * Any additional information or questions? Thank you for submitting your Exploration Vacation request. Please note that this does not mean that your booking has been accepted. We will be responding to you soon. If you don’t hear from her within 48 hours, please email info@wildfreecanine.com or submit this form again!
