North Royalton AH - Canine Check-In

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CANINE CHECK-IN
PAWS AT PLAY RESORT

To ensure that your pet has a safe and happy visit with us, we ask that you provide the following information. Thank you!
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Client Info* This field is required.
Your Name
Contact Phone #
Email
Pet’s Name
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Check In Date & Time* This field is required.
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Check Out Date & Time* This field is required.CHECK OUT IS NOON. ADDITIONAL CHARGES WILL APPLY AFTER NOON.
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Emergency Contact* This field is required.
Emergency Contact Name
Emergency Contact Phone
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Do you accept text messages?
YESNO
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I grant permission to use my Pet's Photograph for use in newspapers, Facebook, and/or website.* This field is required.Please Circle
Yes
No
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Your pet must be current on all vaccinations.

Distemper / Parvo, Rabies, Bordetella, Canine Influenza (H3N8 and H3N2),
Leptospirosis & proof of a negative fecal test within six months of boarding.

If proof of vaccinations is not provided, we will vaccinate and examine your pet at the owner's expense.
(Please ask for an estimate if needed.) Please Initial *
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There will be a $2.76 charge per day if meals are provided by Paws at Play.* This field is required.
Please Select
Please Select
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Did you bring food for your pet?
Feeding instructions (cups per day, how often)
Please Select
Please Select
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Is your pet on a restricted diet or allergic to any foods / treats?
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All medications must be in the original bottle with a veterinary label and instructions.

There is a $2.52 fee per administration of medication.

Additional charges apply for diabetic care & pets requiring extensive medical care.
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If your pet on a restricted diet or allergic to any foods / treats, please specify* This field is required.
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Please Select
Please Select
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No
Is your pet on any medication?
Did you give medication today?
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List All Medications & How To Administer
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Please list ALL items you brought for your pet
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We will provide clean, comfortable bedding daily. Limited bedding and belongings may be left with your pet. We are not responsible for any items that are not listed, lost, or damaged.
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There is a $2.43 fee per administration of medication.

Additional charges apply for diabetic care & pets requiring extensive medical care.
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Leash Color
Collar Color
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Is your pet on Flea Prevention?* This field is required.If yes, proof of purchase of a veterinary-approved product is required. If no, for your pet's protection and to keep our facility free of fleas, we will administer flea prevention at your expense.
Please Select
Please Select
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No
Is your pet on Flea Prevention?
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Please list type:* This field is required.Proof of purchase of a veterinary approved product is required.
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Does your pet have any medical issues (seizures/heart failure)?
Does your pet have any behavioral, or aggression issues?
Does your pet chew, shred or ingest blankets, bedding, or toys?
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Please Select
Please Select
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No
Is your pet destructive, afraid of noises, thunderstorms, etc.?
Please Select
Please Select
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No
Does your pet have separation anxiety?
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What is your pet’s personality type?
Introvert
Extrovert
Exuberant
Laid Back
Reserved
Nervous
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Pet must be an established daycare participant. Reservations are required for a trial day before the visit.
Please Select
Please Select
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Would you like your dog to attend daycare?
$20.95 per day / number of days
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Additional Services Are Provided At Your Request
Bath (price varies on size)
Teeth Brushing    $8.94
Ear Cleaning    $14.58
Anal Gland Expression / Nurse   $52.33
Toe Nail Trim   $23.67
Other
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Enhanced Services For Our Canine Guests
Chicken & Yogurt $ 1.83
Sandwich Cookies $ 1.83
Frozen Yogurt $ 5.71
Bottled Water $ 2.05
Buddy Time $ 14.30
D.A.P Collar (price varies on size)
Keepsake Craft $ 16.16
Chicken Jerky $ 1.83
Apple & Oatmeal $ 1.55
Stuffed Kong Toy $ 5.65
Baby Carrots (2) $ 1.23
Pampering Time $ 14.30
Additional Photo/Text $ 2.05
HOLIDAY Stuffed Kong $ 6.47
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Is there anything we can do to make your pet more comfortable?
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If your pet refuses to eat dry food, we will attempt to feed canned food, and you will be charged $5.69 per can.

If your pet refuses to eat for 48 hours and has lost more than 8% body weight, the doctor will examine your pet. If there is no medical reason why your pet will not eat, the office will contact you or the emergency contact, & we will ask that you pick up your pet. We will do our best to ensure your pet's health, and you will be responsible for any charges incurred during his or her stay with us.

If your pet becomes ill or injured while boarding, we will make every attempt to contact you. If we are unable to contact you, we will institute the appropriate medical and/or surgical care necessary. Your signature on this form indicates your willingness to be responsible for the cost of these services.

We will use all reasonable precautions against injury and escape but will not be held responsible in any manner or circumstance because of the care, treatment, or safekeeping of the animal described above or in connection therewith. It is thoroughly understood that the client assumes all risks. Be assured that your pet's health is our primary concern, and we will do everything possible to maintain his or her health.

YOUR SIGNATURE BELOW INDICATES THAT YOU AGREE WITH ALL OF THE ABOVE STATEMENTS.
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Signature of owner* This field is required.
Clear
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Date* This field is required.
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Year
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Day
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CANINE CHECK-INPAWS AT PLAY RESORT

CANINE CHECK-IN
PAWS AT PLAY RESORT