9751 North Highway 99Stockton, California 95212
Tel: (209) 931-0758 Fax: (209) 931-4113
Please complete this form to request a reservation at The Canine Culture™. When you submit this form, your boarding reservation request will be e-mailed to us. We will contact you to confirm your reservation and space availability.
The internet is not always reliable, so if you haven’t received a response from us within 24 hours PLEASE check your Spam folder and/or make a follow-up phone call to us at 209.931.0758. No response from us within 24 hours means we have not received your request! If registering more than three dogs, please call our office at 209.931.0758. Thank you.
* Required Fields
New Customer Existing Customer (pet already registered)
Name *
Address *
City *
State *
Zip *
Primary Phone *
Alternate Phone
Email Address *
Emergency Contact Name
Emergency Contact Phone
Pet 1
New Pet? Yes No
Your Pet's Name *
a. breed *
b. color *
c. sex F M *
Neutered / Spayed Yes No *
d. date of birth / approximate age *
e. weight *
f. feed Dry Canned Raw *
time AM midday PM *
g. medications required? Yes No *
name of medication(s) *
how much /how often? *
h. Veterinary Clinic and Phone *
i. extra services requested: playtime pamper sessions bath nail trim (included in bath or groom) groom other:
Add Another Pet?
Pet 2
how much/how often? *
Pet 3
Check-In Date *
Check-In Time 9:00-Noon Mon-Fri Only 4:00-6:00PM Mon-Sun *
Check-Out Date *
Check-Out Time 9:00-Noon Mon-Fri Only 4:00-6:00PM Mon-Sun *
Special Instructions
Payment Info Our office will contact you to confirm your reservation and collect current VISA or MasterCard information you are providing as your guarantee of payment.
By submitting this reservation request, I acknowledge that I have read the Pricing and Policies section of the web site, agree to the terms and conditions and will sign the Boarding Agreement at check in. Please call to confirm last minute reservations.
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Your email address is confidential and is never shared with anyone. Occasionally The Canine Culture sends promotional emails to our customers. If you prefer not to receive promotions and/or special offers from The Canine Culture please un-check this box:
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