Welcome to the Dogs On The Farm & Cats Too family!
Owner Name(s)
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Cell Phone
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Alternate Phone
Address
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Street Address
Street Address Line 2
City and State
State / Province
Zip
Email Address
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example@example.com
How did you hear about us?
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Google search
Online Advertisment
Social Media
Friends or Family
Veterinarian, trainer, or other pet professional
Local / Drive By
Other
Emergency Contact Name (if we can't reach you)
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Emergency Contact Phone
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Veterinarian Practice Name
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Veterinarian Phone Number
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Cat Name
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Breed/Type
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Color
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Approx. weight
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Birthdate
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Month
-
Day
Year
Date
Sex
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Male Intact
Male Neutered
Female Intact
Female Spayed
Check In Date
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-
Month
-
Day
Year
Date
Check Out Date
*
-
Month
-
Day
Year
Date
Check Out Time
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Check out by 1pm
Late check out 2-7pm ($25)
Room Type
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Kitty Condo $38.50-$48.50
Activity Package (select one)
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Purrrfect Kitty ($44 - private play, cozy bedding, kitty treats, TLC tuck in, email update, catnip toy & calming spray)
Cat's Meow ($26 - private play, cozy bedding, kitty treats & TLC tuck in)
Kitty Fun ($19 - private play, cozy bedding & kitty treats)
A la carte activities (select below) or none
A la Carte Activities
Private Play $13.50
TLC Tuck In $13.50
Kitty Treats $5
Email Update $11
Cozy Bed $7
Calming Spray $7
Grooming Services
Nail Clip & File $25
Coat Brush $20-40
Feeding Information
What brand of food do you feed your cat?
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Breakfast
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Dinner
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If your cat is not eating well, may we give an incentive (example: chicken, tuna, canned food, treats, etc.)?
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Meal Add Ons
Use House Food $5.25 per day
Yummy treats $5
Please list any medications, instructions, and reason for medications (additional fees apply):
Please list any belongings your cat will bring:
Health & Behavior Information
Does your cat have any allergies?
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Health issues
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Limitations on movement (hip dysplasia, arthritis, old injury)
Does your cat regularly vomit or have diarrhea?
Does your cat regularly 'go' outside their litter box?
Does your cat regularly scratch or bite?
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How would you describe your cat's personality?
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Does your cat like to be pet by strangers?
Other comments about your cat that you feel may be helpful
Owner Agreement / Release of Liability
Owner Agreement/Release of LiabilityI hereby certify that I have read and understand the following:I certify that my cat(s) have not harmed or shown aggressive or threatening behavior towards any person or any other cat. I understand that I am solely responsible for any harm caused by my cat(s) while my cat(s) is/are attending Dogs On The Farm (Center).I further understand and agree that in admitting my cat(s) to the Center, Dogs On The Farm staff have relied on my representation that my cat(s) is/are in good health and have not been ill with any communicable condition in the last 30 days.I further understand and agree that in admitting my cat(s) to the Center, Dogs On The Farm staff have relied on my representation that my cat(s) is/are in good health with no health restrictions on play unless otherwise disclosed to the Center and have not harmed or shown aggressive or threatening behavior towards any person or any other cat. I further understand and agree that Dogs On The Farm and their staff and volunteers, will not be liable for any problems which develop, provided reasonable care and precautions are followed, and I hereby release them of any liability of any kind whatsoever arising from my cat(s) attendance and participation at the Center.I further understand and agree that any problems that develop with my cat(s) will be treated as deemed best by staff and volunteers of Dogs On The Farm, at their sole discretion, and that I assume full financial responsibility for any and all expenses involved.I further understand that my cat(s) will be included in Dogs On The Farm’s PetAssurance Program, and I have read and understand the program and its inclusions and exclusions. I further certify that I have read and understand the policies of the Center as set forth on the preceding pages and that I have read and understand the conditions, and statements of this agreement, including the following:Should any boarding animal become ill or seem to be in need of medical attention, we reserve the right to administer aid or use our veterinarian. Any expenses so incurred, shall be paid by the owner of said animal in addition to other fees listed on this contract.Daily boarding charges begin on the date entered on the current check in form. Customer agrees to notify this kennel in advance if there is any change in the date boarding animal is to be picked up. No boarding animal will be released until all charges are paid in full.Owners shall remain liable for complete boarding as well as other charges incurred in the care, maintenance and disposal of said animal as listed on this contract. It is expressly agreed by Owner and Kennel that Kennel’s liability shall in no event exceed the lesser of the current chattel value of a pet of the same species or sum of $200.00 per animal boarded. The owner further agrees to be solely responsible for any and all acts or behavior of said pet while it is in the care of the Kennel. The owner of the animal or his agent agrees to pay reasonable attorney’s fees incurred by the boarding facility in the collections of any boarding, grooming, or other charges incurred by the owner of the animal or his agent.Cats must be up to date on the following vaccinations: Feline Distemper and Rabies.Pets with fleas/ticks will be bathed/dipped at owner’s expense in order to maintain flea control in the kennel.This kennel is not held responsible for the loss of any toys, leashes, collars, or bedding that is brought into the kennel.
I read and understand Owner Agreement above.
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I read and understand.
Date
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Month
/
Day
Year
Date
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Additional Cats
If no additional cats, please scroll down to submit. For more than 3 cats, please fill out a second form. For dogs, please fill out separate dog form.
Cat Name (2)
Cat Name (3)
Breed (2)
Breed (3)
Color (2)
Color (3)
Weight (2)
Weight (3)
Birthdate (2)
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Month
-
Day
Year
Date
Birthdate (3)
-
Month
-
Day
Year
Date
Sex(2)
Male Intact
Male Neutered
Female Intact
Female Spayed
Sex(3)
Male Intact
Male Neutered
Female Intact
Female Spayed
Room Type (2)
Share with Cat 1
Separate Kitty Condo
Other
Room Type (3)
Share with Cat 1
Separate Kitty Condo
Other
Activity Package (2) (select one)
Purrrfect Kitty ($44 - private play, cozy bedding, kitty treats, TLC tuck in, email update, catnip toy & calming spray)
Cat's Meow ($26 - private play, cozy bedding, kitty treats & TLC tuck in)
Kitty Fun ($19 - private play, cozy bedding & kitty treats)
A la carte activities (select below) or none
Activity Package (3) (select one)
Purrrfect Kitty ($44 - private play, cozy bedding, kitty treats, TLC tuck in, email update, catnip toy & calming spray)
Cat's Meow ($26 - private play, cozy bedding, kitty treats & TLC tuck in)
Kitty Fun ($19 - private play, cozy bedding & kitty treats)
A la carte activities (select below) or none
A la Carte Activities (2)
Private Play $13.50
TLC Tuck In $13.50
Kitty Treats $5
Email Update $11
Cozy Bed $7
Calming Spray $7
A la Carte Activities (3)
Private Play $13.50
TLC Tuck In $13.50
Kitty Treats $5
Email Update $11
Cozy Bed $7
Calming Spray $7
Grooming Services (2)
Nail Clip & File $25
Coat Brush $20-40
Frontline & application $21
Grooming Services (3)
Nail Clip & File $25
Coat Brush $20-40
Frontline & application $21
Food Brand (2)
Breakfast (2)
Dinner (2)
If your cat is not eating well, may we give an incentive (example: canned food, treats, etc)(2)
Meal Add Ons (2)
Use House Food $5.25 per day
Yummy treats $5
Please list any medications, instructions, and reason for medications (2):
Food Brand (3)
Breakfast (3)
Dinner (3)
If your cat is not eating well, may we give an inentive (example: canned food, treats, etc) (3)
Please list any medications, instructions, and reason for medications (3):
Does your cat have any allergies?(2)
Does your cat have any allergies? (3)
Chronic health issues (2)
Chronic health issues (3)
Limitations on movement (hip dysplasia, arthritis, old injury) (2)
Limitations on movement (3)
Does your cat regularly cough or have diarrhea/vomiting? (2)
Does your cat regularly cough or have diarrhea/vomiting? (3)
Does your cat act afraid of any specific items or noises? (2)
Does your cat act afraid of any specific items or noises? (3)
Has your cat ever bitten a person or other pet? (2)
Has your cat ever bitten a person or other pet? (3)
How would you describe your cat's personality?(2)
How would you describe your cat's personality?(3)
Favorite petting spots?(2)
Favorite petting spots?(3)
Favorite toys/games?(2)
Favorite toys/games?(3)
Other comments about your cat(s) that you feel may be helpful?(2/3)
Submit
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