Boarding Admit Form

Pet name*

My pet is a*

Dog

Cat

Rabbit

Other

Date Arrival:

Check in available 2-5:30 PM Mon - Fri. or 8-11:30 AM Sat
*

Date Pick Up:

Check out before 11 am Mon-Sat.
Check out by 11 AM to avoid another day's charge. We offer 6:30 PM pickup daily but will require an extra day's board.
*

Boarding pick-up time

You can schedule a pickup at the side door at 6:30 pm. This requires an extra day's boarding.
*

I will pick up between 8- 11 am

I need a 6:30 pm evening pick-up

Other

Pet's Belongings
*

Pet bed

Leash

Toys, blanket

Crate or carrier

Medication

Other

Feeding Instructions

We encourage you to bring your pets regular food. We feed Hills Sensitive Stomach dry at 1 cup per 20 # of body weight divided into two meals for dogs if you do not bring food.
*

Feed Clinic Food (Sensitive stomach dry)

No treats, Food Allergic

I'm bringing my pet's food

Special Prescription food

Special treats or chews

Indicate the amount to feed in cups am and pm or cans per meal.

List amount to feed in measure cups, not scoops.
Label all bags and containers with your pet's name.
*

Can your dog be let out in a playgroup?

There is a $5.00 charge per day for dogs that need to be taken out alone. If our staff determines they do not play well with others, we will require they be taken out alone. We have a large dog yard and a small dog yard.
*

No, Aggressive toward other dogs.

No, they are nervous or timid.

No, non-neutered male over 1 year of age.

Yes, my dog is well-socialized and can go out with similar-sized dogs to play.

Not sure, let me know how they do.

Other

Extra Playtime with staff.

An Extra playtime with staff is $11.00 per day. All dogs go out in a play yard three times a day, (morning, noon, and night). This is an additional fourth playtime with staff.
*

Yes, Do Extra playtime every day.

No, thank you.

If yes, indicate how many days

Medications or Insulin

Insulin injections twice a day, $7.50 per day.
Meds are given 1-3 times a day at $7.50 per day.
*

Yes

No

1. Med Name, Dose, and Frequency of Administration

Meds can be given up to three times per day. (morning noon and night) Insulin can be given twice a day.

2. Med Name, Dose, and Frequency of Administration

Meds can be given up to three times per day. (morning noon and night) Insulin can be given twice a day.

3. Med Name, Dose, and Frequency of Administration

Meds can be given up to three times per day. (morning noon and night) Insulin can be given twice a day.

Any Special Needs, Activity restriction,s or Allergies?

Local Emergency contact person's name

If your pet becomes a danger to staff, your contact person will be asked to pick up the pet.
*

Emergency contact phone

If your pet becomes ill and we cannot reach you, your contact person should be able to authorize treatment for your pet.
*

Authorization for treatment if we cannot reach you or your emergency contact person.

Unfortunately, pets can become ill while boarding, and owners are not always available when we call. Waiting until we reach you to start treatment may be detrimental to your pet. You will be responsible for the cost of treatment for your pet while in our care up to the limit you set.
*

Please do the necessary treatments until you reach me.
Do not treat my pet until speaking with me.
Start treatment, but do not exceed this amount:

I understand that I will be required to prepay for my pet's boarding stay and will be responsible for any additional charges incurred during their stay.*

I agree

Pet name*

My pet is a*

Date Arrival: Check in available 2-5:30 PM Mon - Fri. or 8-11:30 AM Sat*

Date Pick Up: Check out before 11 am Mon-Sat. Check out by 11 AM to avoid another day's charge. We offer 6:30 PM pickup daily but will require an extra day's board. *

Boarding pick-up time You can schedule a pickup at the side door at 6:30 pm. This requires an extra day's boarding.*

Pet's Belongings *

Feeding Instructions We encourage you to bring your pets regular food. We feed Hills Sensitive Stomach dry at 1 cup per 20 # of body weight divided into two meals for dogs if you do not bring food. *

Indicate the amount to feed in cups am and pm or cans per meal. List amount to feed in measure cups, not scoops. Label all bags and containers with your pet's name.*

Can your dog be let out in a playgroup? There is a $5.00 charge per day for dogs that need to be taken out alone. If our staff determines they do not play well with others, we will require they be taken out alone. We have a large dog yard and a small dog yard.*

Extra Playtime with staff. An Extra playtime with staff is $11.00 per day. All dogs go out in a play yard three times a day, (morning, noon, and night). This is an additional fourth playtime with staff.*

If yes, indicate how many days

Medications or Insulin Insulin injections twice a day, $7.50 per day. Meds are given 1-3 times a day at $7.50 per day.*

1. Med Name, Dose, and Frequency of Administration Meds can be given up to three times per day. (morning noon and night) Insulin can be given twice a day.

2. Med Name, Dose, and Frequency of Administration Meds can be given up to three times per day. (morning noon and night) Insulin can be given twice a day.

3. Med Name, Dose, and Frequency of Administration Meds can be given up to three times per day. (morning noon and night) Insulin can be given twice a day.

Any Special Needs, Activity restriction,s or Allergies?

Local Emergency contact person's name If your pet becomes a danger to staff, your contact person will be asked to pick up the pet.*

Emergency contact phone If your pet becomes ill and we cannot reach you, your contact person should be able to authorize treatment for your pet.*

Boarding Agreement

I understand that I will be required to prepay for my pet's boarding stay and will be responsible for any additional charges incurred during their stay.*

Date Arrival:

Check in available 2-5:30 PM Mon - Fri. or 8-11:30 AM Sat
*

Date Pick Up:

Check out before 11 am Mon-Sat.
Check out by 11 AM to avoid another day's charge. We offer 6:30 PM pickup daily but will require an extra day's board.
*

Boarding pick-up time

You can schedule a pickup at the side door at 6:30 pm. This requires an extra day's boarding.
*

Pet's Belongings
*

Feeding Instructions

We encourage you to bring your pets regular food. We feed Hills Sensitive Stomach dry at 1 cup per 20 # of body weight divided into two meals for dogs if you do not bring food.
*

Indicate the amount to feed in cups am and pm or cans per meal.

List amount to feed in measure cups, not scoops.
Label all bags and containers with your pet's name.
*

Can your dog be let out in a playgroup?

There is a $5.00 charge per day for dogs that need to be taken out alone. If our staff determines they do not play well with others, we will require they be taken out alone. We have a large dog yard and a small dog yard.
*

Extra Playtime with staff.

An Extra playtime with staff is $11.00 per day. All dogs go out in a play yard three times a day, (morning, noon, and night). This is an additional fourth playtime with staff.
*

Medications or Insulin

Insulin injections twice a day, $7.50 per day.
Meds are given 1-3 times a day at $7.50 per day.
*

1. Med Name, Dose, and Frequency of Administration

Meds can be given up to three times per day. (morning noon and night) Insulin can be given twice a day.

2. Med Name, Dose, and Frequency of Administration

Meds can be given up to three times per day. (morning noon and night) Insulin can be given twice a day.

3. Med Name, Dose, and Frequency of Administration

Meds can be given up to three times per day. (morning noon and night) Insulin can be given twice a day.

Local Emergency contact person's name

If your pet becomes a danger to staff, your contact person will be asked to pick up the pet.
*

Emergency contact phone

If your pet becomes ill and we cannot reach you, your contact person should be able to authorize treatment for your pet.
*