The Lodge at Wellington - Pet Boarding Instructions
Complete one form per pet please.
Date
*
-
Month
-
Day
Year
Date
Owner Name
*
First Name
Last Name
Owner Address
*
Street
City, State & Zip
Phone number
*
Email
*
example@example.com
Emergency Contact & phone during boarding
*
Name
Phone
Drop off Date
*
-
Month
-
Day
Year
Date
Pick-Up Date
*
-
Month
-
Day
Year
Date
Pick-Up Time
*
1
2
3
4
5
6
7
8
9
10
11
12
:
Hour
00
10
20
30
40
50
Minutes
AM
PM
AM/PM Option
Pet Name
*
Pet Type
*
Dog
Cat
Boarding options:
*
Luxury Suite (dog)
Villa runs (dog)
Wilds runs (dog)
Purr-fect Condo (cat)
Purr-Fect Suite (cat)
Luxury Suites ONLY - weather permitting - I consent for the dog door being left open at night
yes
no
Health Information:
Check any/all appropriate
Arthiritis
Diabetes
Kidney Disease
Liver Disease
Heart Failure
Anxiety
Has your pet had surgery in the past 14 days?
*
Yes
No
Feeding Instructions:
Food type?
Owner provided food
Clinic provided food-Purina EN
Measured food amount?
cup measurements & frequency of feeding
Last time fed?
May we add anything if pet not eating?
Broth/Gravy
Wet food
If more than one pet may your pets eat together?
yes
no
Special Feeding Instructions
Medication Information:
Prescription medications should be in original prescription vials with veterinary instructions
Medication #1?
Name of drug and strength
Medication #1 dosage?
How much & how frequent
When will medication #1 last be administer prior to checking in for boarding?
-
Month
-
Day
Year
Date
1
2
3
4
5
6
7
8
9
10
11
12
:
Hour
00
10
20
30
40
50
Minutes
AM
PM
AM/PM Option
Medication #1 Special instructions
Medication #2?
Name of drug and strength
Medication #2 dosage?
How much & how frequent
When will medication #2 last be administer prior to checking in for boarding?
-
Month
-
Day
Year
Date
1
2
3
4
5
6
7
8
9
10
11
12
:
Hour
00
10
20
30
40
50
Minutes
AM
PM
AM/PM Option
Medication #2 Special instructions
Optional Extra Services:
Check any/all appropriate
Complimentary Bath (Eligible to Luxury boarders ONLY after 3 days of boarding)
Discount Bath - 50% off (Eligible after 3 days of boarding in the Villas or Wilds)
Nail Trim - 50% off (Eligible after 3 days of boarding in Luxury, Villas, Wilds or Purr-Fect Place)
Any additional services requested:
Please list any belongings with description below:
Food
Collar/leash/harness
Toys
Blanket
Bedding
Other
Owner Signature
WVC Employee Initials
Save
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