BOARDING INFORMATION
*TO BE COMPLETED FOR EACH STAY
GENERAL INFORMATION
Pet's Name
*
Owner's Name
*
First Name
Last Name
Date dropping off pet:
*
-
Month
-
Day
Year
Date
Date picking up pet: * If after 1:00 pm, you will be charged for a full day of daycare
*
-
Month
-
Day
Year
Date
Do you want your dog(s) socializing with other dogs?
*
Yes
No
Please List all items you will be leaving: ** PLEASE NOTE: STAY & PLAY IS NOT RESPONSIBLE FOR ANY LOST ITEMS **
FEEDING INFORMATION
Eat our Food?
*
Yes
No
Can Your Pet Eat Our Food If They Run Out Of There Own (BRAND: NUTRO)
No- Contact Us
Yes
Has your pet eaten today?
*
Yes-Breakfast Only
Yes-Breakfast & Dinner
No- No Meals
List Brand of Food Provided:
FEEDING INSTRUCTIONS:
AM
Noon
PM
Amount Per Serving
Special Instructions:
MEDICATIONS / HEALTH
*IF MORE THAN ONE PET ON MEDICATION, PLEASE COMPLETE ONE FORM FOR EACH*
Is your pet on medication?
*
Yes
No
If so, has your pet received any medication today?
Yes
No
Type/Name of Medication:
Pet’s Name on Medication:
Medication Frequency
AM
Noon
PM
Dosage Amounts
Special Instructions:
If your pet has serious GI upset during their stay, may we administer a probiotic supplement? **additional charges will apply**
*
Yes
No- Contact us
Does your pet have any allergies?
*
Yes
No
If so, to what?
EMERGENCY CONTACT
Emergency Contact:
*
First Name
Last Name
Phone Number
*
-
Area Code
Phone Number
Who will be picking up your pet?
*
Self
Other
ADDITIONAL SERVICES DESIRED
Type a question
Bath (*Free if staying 5 nights or morePrice varies depending upon breed and condition of coat)
Bath Con'd: For De-shed treatment (Additional $20) Check this box also if wanted
Nail Trim ($12)
Brushing (Price Varies depending upon breed and condition of coat)
Bedtime Snack ($1 Per Snack) ($1.50 For Large Breeds)
Teeth Brushed ($8)
Clean Ears ($8)
Owner's Signature
Submit
Should be Empty: