The Cat Clinic and Spa - Cat Boarding Check-In Form

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Drop off times are Monday - Friday: 9:00 AM - 11:00 AM and 3:00 PM - 5:00 PM

Saturday drop offs: 9:00 AM - 11:00 AM

Sundays are pick up only (no drop offs): 5:00 PM - 6:00 PM
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Duration of my pet’s stay* This field is required.
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Client Information
Name
Address
Phone
Email
Please Select
Please Select
Yes
No
Will your pet be boarding with another pet in the family?
If so what is the pet's name?
4
Boarder(s) information
Name
Breed
Color
Age
weight
Please Select
Please Select
Male
Female
Male Neutered
Female Spayed
Sex
Please Select
Please Select
Yes
No
If there are additional pets to board
5
Please specify whether you grant permission to use your pet’s photograph on social media, websites, or any marketing publications without further consideration.* This field is required.We love sharing adorable pictures of pets!
YESNO
6
Is your pet coughing or sneezing?* This field is required.
Yes
No
7
If yes please explain* This field is required.
8
General health & Wellness
Please Select
Please Select
Yes
No
Is your pet currently on flea prevention (Flea prevention is required)
Please Select
Please Select
Yes
No
Does your pet have any current medical issues or illnesses in the past 30 days?
Please Select
Please Select
Yes
No
Does your pet have any existing coughing or sneezing, runny nose or eyes?
Please Select
Please Select
Yes
No
Does your pet have any food or medication allergies/sensitivities?
9
What Flea Prevention medication is your pet on?* This field is required.
10
General Health & Wellness
Please Select
Please Select
Yes
No
Does your pet ever eat or destroy non-food objects?
Please Select
Please Select
Yes
No
Does your pet ever try to escape the house?
Please Select
Please Select
Yes
No
Has your pet ever bitten a person or other animal?
11
Medication administration pricing

1-2 medications $10/day

3-4 medications $15/day

5+ medications $20/day
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Does your pet have any chronic or pre-existing conditions?(Ex: torn ACL, Arthritis, Diabetic, Diarrhea etc.)
13
Does VWCG need to administer any medications during your pets stay?* This field is required.Medications must be provided in their original pill vial.
Yes
No
14
Medication NameMust be in original pill vial
Medication Name
Dose
When to Give
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How will you provide your pets food?(Select all that you will be bringing)
Original bag w/measuring cup
Individual pre-measured baggies or containers for each meal
Cans
Refrigerated
Other
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Please let us know how you will provide your pets food:
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How often do you feed?
Grazer
Morning and Evening
Morning, Afternoon and Evening
Other
18
Please provide your pets feeding schedule:
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Treat Name (s)
When do you give treat(s)
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LuggagePlease list all items that are accompanying your pet as well as a brief description (Ex: Blue blanket, 1 Elephant toy)
Bedding
Food
Toys
Leash/collar
Medications
Please Select
Please Select
Yes
No
Is it ok for staff to wash bedding?
21
If you choose to bring in any personal items, The Cat Clinic & Spa will not be held liable for any lost or damaged items.
22
Your reservation includes playtime. Would you like to add additional playtime, give them a special treat or spa treatment during your pet’s vacation
Yes/No
Qty & Day
10 minutes One-on-One playtime ($10.00)
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15 minutes One-on-One playtime ($15.00)
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20 minutes One-on-One playtime ($20.00)
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Nail Trim ($30.00)
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Cat Nip Treat $7.50
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10 minutes One-on-One playtime ($10.00)
15 minutes One-on-One playtime ($15.00)
20 minutes One-on-One playtime ($20.00)
Nail Trim ($30.00)
Cat Nip Treat $7.50
Yes/No
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Client Signature* This field is required.I have read and understand the boarding release provided and give permission to board my pet(s)
Clear
Should be Empty: