Please fill out one form per dog.
Owner's Name:
Contact Number:
Address:
Email:
Alternate Contact Name & Number:
Dog Name:
Breed:
Age:
Gender:
If your dog develops any medical condition during their stay, Kiga reserves the right to treat as necessary to prevent the spread of illnesses. In the event that your dog experiences a life-threatening situation, Kiga will make every attempt to contact you or any authorized agent listed on this form. If Kiga is unable to contact you, Kiga reserves the right to proceed as the doctor deems necessary, which shall be chargeable to you.