American Vet - Kennels Online Registration Form

American Veterinary Clinic

Al Falah Street
Abu Dhabi - UAE, BC PO BOX 31051

(971)665-5044

www.americanvet.ae

AVC Kennels - Online Registration

This won't take long...

This form allows us to register new clients, keep existing client information up to date, and make your dog's check-in more efficient.

Please contact the AVC Kennels to make your dog's kennel booking before submitting your online registration.

Please download/review the "AVC Kennels Agreement" at the bottom of the AVC Kennels page BEFORE submitting this form.

AVC Kennels Online Registration

Name + Email (required)

First Name (required)	Last Name (required)

E-Mail Address (required) :

Are you and your dog already registered with the American Veterinary Clinic? (required)

Yes
No
I'm not sure

Phone Number in Abu Dhabi (please include 10 digits for mobile numbers) (required)

Phone number while away - please include area code (required)

Location (country/state) while away

Name of Emergency Contact in UAE: (required)

Phone number of Emergency Contact in UAE: (required)

Pet's Name: (required)

Breed: (required)

Pet's Date of Birth (mm/dd/yy) - approximate age is ok. (required)

Description/Color: (required)

Your dog's approximate weight (in kilograms): (required)

Sex: (required)

male
female

Is your dog sterilized? (neutered for males/spayed for females) (required)

Yes
No
I'm not sure

Are you interested in signing your dog up for Extra Play Time?

Yes - will discuss details with kennel handlers prior to or at check-in.
Maybe - will discuss with kennel handlers prior to or at check-in.
No thanks.

In case of medical problems while boarding (we will make every effort to contact you): (required)

I authorize treatment as needed and accept financial responsibility for charges accrued.
I authorize treatment up to 1000 aed
I authorize treatment up to 2000 aed
I authorize treatment up to 3000 aed
Other - to be authorized at check-in

If your dog has any medical conditions we should know about, please list them here.

PLEASE NOTE:
If medications need to be administered during the boarding period, an AVC doctor's approval may be required, and a small fee may apply.

Is your dog currently receiving any medication? (required)

yes
no

If yes, please list medication(s), dose and dosing instructions.

PLEASE NOTE:
Payment is required in advance for boarding extensions. Payment for medical expenses is required at the time services are provided. To cover the cost of boarding extensions and/or medical expenses, you may wish to leave a cash deposit or provide your credit card information:

Card Type

Visa
MasterCard

Card Number

Expiry Date

Name as it appears on Card