Pet Boarding Check-In

***This Form Is NOT A Reservation ***

This form does NOT reserve a spot for your pet, please call and make the reservation prior to filling out this form.
Reservation *

I have already called the Pet Resort office and made my pet's reservation I have not called yet to make my pet's reservation. I understand that this form does not secure a reservation for my pet. I understand that I need to call 805-495-4671 and make a reservation before I fill out this form. This form is for check-in purposes only
Today's Date

Month Day Year
Date
Client Information
Do you have a file at CVVH? *

Yes No
Account Phone # *

Area Code Phone Number
Client Phone # This Stay *

Area Code Phone Number
Name on Account *

First Name Last Name
Email
Secondary Contact

Name Relationship
Secondary Contact #

Area Code Phone Number
Contact is authorized for:

Visits Pick-up Medical decisions
Accomodations
Cat Condos

Cats are housed in individual cat condos. Our guests are offered individual daily playtime outside condos unless they prefer to stay in their condos
Dog Suites

Dogs may reserve Junior suites, Standard Suites, Standard Plus Suites, or Deluxe Suites. They receive at least 4 walks per day, and lots of T.L.C!
Is your boarding reservation for more than one pet? *

Yes No
Reserved Check-In *

Month Day Year
Time (There will be a Surcharge if dropped-off before 12pm) *

: Hour Minutes AM/PM Option
Reserved Check-Out *

Month Day Year
Time (There will be a Surcharge if picked-up after 12pm) *

: Hour Minutes AM/PM Option
Pet Name *
Type of suite reserved *
Pet Name *
Type of suite reserved *
Pet Name
Type of suite reserved
Pet Name
Type of suite reserved
General Questions
Has your pet boarded with us before? *

Yes No
Do you have any questions or concerns from the last stay that can help us with the care of your pet this stay? *

Yes No
*
Detail Here
*
Detail Here
Are there additional medical services you would like your pet to have? *

Yes No
What type of exam would you like your pet to have?

General Wellness Exam (no specific problems to note) Senior Wellness Exam Exam for a specific health concern Exam for dental estimate Re-check for recently treated condition.
Requested Services *

Diagnostics Dental Exam
If Yes, has it been scheduled? *

Yes No
Date Scheduled, Pertinent Information *
Detail Here
Vaccine And Testing Requirements
Dogs:
- DHPP
- Bordetella
- Rabies
- CIV (H3N2)
- Annual Fecal
Cats:
- FVCRP
- Rabies
- Annual Fecal
All pets must be current on our required vaccines and have a negative fecal exam within the last 12 months to board with us. You may email or fax proof from another veterinarian. If any vaccines or exams are missing, we will administer them while boarding. *Additional fees apply.*
If your pet becomes due for any of these may we administer them? *

Yes No
Will your pet need medication to be administered while here? *

Yes No
Instructions: *Extra charges apply *
Pet, Medication, Dose, Frequency
Flea Control

*We strive to maintain a flea free environment and we highly recommend all pets be on flea control prior to admission into our Resort. If on admission your pet is found to have fleas, your pet will be treated with flea control at an additional fee.
Is your pet on flea control? *

Yes No
What type and how often? *
Would you like us to start flea control? *

Yes No
Which brand?
*Charges Apply
Meals and Feeding Instructions

We feed according to owner instruction. Owners can bring their pets' regular food (preferred) or we have an in-house option for our boarders. Our Resort offer Royal Canin GI Low Fat for dogs (dry or wet). For feline boarders we offer Royal Canin Fiber Response (dry) and Royal Canin GI Moderate Calorie (wet).
Will you be bringing meals from home for your pet? *

Yes No
If you bring your own food, we request that you make individual bags for each meal. Bags and cans must be labeled with your pet's name and your last name. Please leave us extra portions of his/her food in case of a need for us to remake a meal or to increase food amounts.
Please list feeding instructions in exact measurements. Ex: 1 bag dry 2xd, Ex: 1 cup dry 2xd (1 cup = 8 oz. cup). Also list frequency (how many times per day). Note if each meal serving will be pre-bagged. If you have more than 1 pet staying with us please specify each pet's instructions. *
Our staff may offer the following items for enticement while your pet is boarding: chicken, canned (wet) food, etc.
May we entice your pet to increase appetite if he/she is not eating after several meals or is dropping too much weight? *

Yes No
Please explain why not *
Please list restrictions if known
Please list preferences if known
If multiple pets are boarding in the same suite, do they need to be fed separately? *

Yes No Not Applicable
If yes, please explain the issue(s).
Comfort Items

We provide bedding for your pet and have most types available. We also have an assortment of different toys and you may request we give them to your pet. However, we do not accept personal items. These items can become soiled during the stay and can easily be lost, misplaced, or damaged when separated from your pet for cleaning. If you would like to bring your boarding pet with a comforting scent from home, we recommend donating a T- shirt with your comforting scent on it. (You can sleep in it the night before boarding, and your pet will have his/her favorite person with him/her during the stay!)
May we provide bedding and toys for your pet while here? Select "No" if your pet may chew or ingest. *

Yes No
If selecting "No", please explain the limitation and reason. *
Doggy Daycare

Doggy Day Camp is a great way for your pet to play, get plenty of exercise, and socialize with other dogs in a safe and stimulating environment. We offer an enriching experience for your pet in a clean environment with full time supervision from our dedicated team.
Requested Daycare *

None Full Days Up to my pet's comfort Half Days Other
Requested Days (Exact Dates) *
Has your pet already had the doggy day camp evaluation at CVVH. *

Yes No
If your pet has not been evaluated here, please fill out our Doggy Daycare Evaluation Form at this link:

https://form.jotform.com/ConejoVet/doggy-day-camp-evaluation-informati
Cost for day camp while boarding is $26 per day. If you are interested, please call our office and schedule an appointment for a day camp behavior evaluation prior to boarding in our Pet Resort. There are certain pre-qualifications required. The evaluation day is free of charge.
VIP Time

VIP time is a fun way to let us give your pet customized one-on-one time (up to an extra 30 minutes per day) while boarding. Just tell us pet's favorite activities, and leave the rest to us!
Cost for V.I.P time while boarding is $26 per 30 minute session (maximum request is 1 session per day).
VIP Time *

None Daily Every Other Day Other
Requested Days/Favorite Activities *
Spa Services *(Additional charges apply)

Please note that if your dog's coat is too heavily matted, we may not be able to accommodate your request. You may also choose the "No Bath" option. However your pet may have picked up some boarding related odors during their stay. If it becomes absolutely necessary for hygiene reasons, CVVH reserves the right to perform and charge for an express bath as needed for your pet's comfort.
At the end of your dog's stay which spa services would you like? (Select all that Apply) *We do not offer baths for cats or exotics*

*None (My dog may have boarding odors) Brush & Bathe ( Ear cleaning /Nail trim is included) Add a sanitary trim to the bath Add a De-shed to the bath Add a paw/pad trim to the bath *Add "Teeth Brush" to bath (+$11) *Add "Internal Anal Gland Express" to bath (+$15) *Add my medicated shampoo to the bath ( + $12) ^Nail Trim or Dremmel, NO bath^ ^Internal Gland Express NO bath^
Is your pet sensitive to any shampoos, conditioners, or fragrances?

Yes No I don't know
If yes, please explain:
Any additional handling or health l we should know about bathing your dog?
Web Cams

Available for selected Deluxe Suites and Doggy Day Camp. The webcams are available for viewing on our Web Cam Page from 8am to 5pm . Though we do not anticipate any viewing issue, the cameras may occasionally malfunction so viewing is not guaranteed at all times. Also please check your firewall, browsing setting, and cookies when trying to view the cams to ensure that all the settings are correct. The webcams require a username: play and a password: play .
I understand the web cams may not always be available for viewing. *
Initial
Do you have a senior pet? (8 years or older) *

Yes No
Does your pet have any special care needs? (Ex: diabetic or had any recent surgeries or procedures)? *

Yes No
Are there any health conditions, temperament or safety issues (past, present, or chronic) we should be aware of while your pet boards? *

Yes No
*
Detail Here
Healthcare Policies and Liabilities

Please be aware the excitement/physical stress of being in a boarding environment can make your pet more susceptible to upper respiratory infections, digestive upset, colitis, appetite changes, or weight loss/gain. In addition, being in the general vicinity of other boarding pets will inherently expose your pet to miscellaneous air/contact passed medical conditions. These risks cannot be completely prevented or eliminated. This is especially true in a Doggy Daycare setting where dogs are in close proximity to each other and sharing water. At our facility we strive to maintain high standards of cleaning and sanitation. However, in allowing your pet to board or attend daycare with us, you are acknowledging and accepting the above mentioned risks. You are also accepting financial responsibility if he /she does acquire any medical condition or injury in the course of the stay that requires treatment. The health of our guests is our highest concern. Should a life-threatening emergency arise, you will be contacted as soon as possible in regards to any emergency situations or treatments.
If your pet has a medical situation, we will make every attempt to reach you. If we cannot immediately reach you, please choose what treatment level is authorized until we have spoken with you.
Please check all boxes below that apply: *

I authorize ALL emergency & non-emergency care as CVVH deems necessary I authorize only care CVVH deems an emergency . I authorize only non-emergency care.
Maximum $ amount authorized for care *

No Limit
Senior Pet Questions

Your senior pet is very important to us. Because their welfare is our top priority, we want to assure you that we will make every effort to make their stay with us as safe, comfortable, and routine as possible. However, when older pets are boarded their bodies are subjected to unforeseen stresses because their normal routine is disrupted when they are removed from their home environment. This has the potential to cause latent physical conditions (i.e. heart, liver, kidney, arthritic pain, etc) to become active or more severe. Senior pets are also more at risk to acquire upper respiratory infections in boarding settings.
Current Health Status *

Good Fair Poor
Most Recent Exam *

Within Last Month Within Last 6 Months Within Last Year Over 1 Year Ago
Which Veterinary Facility
If Not At Conejo Valley Veterinary Hospital
Age Related Health Changes *

None Arthritic/Joint Vision Loss Hearing Loss Arthritic Increased Pain Cognitive Changes Urinary Incontinence Fecal Incontinence Cannot Independently Stand-up Other
If you checked "Other" or for any specific information
Detail Here
Please pick all that apply *

Make every effort possible to save my pet's life until I can be reached Treatment as you feel is needed (both emergent and non-emergent) Treat my pet as needed but with some limitations/restrictions (listed below) Treat my pet up to this dollar amount until I can be reached (listed below) Selected treatment choice above, but no heroic measures please (DNR)No treatment for any reason
Treatment restrictions/ limitations
Maximum $ Amount
Financial Responsibility
I am the owner and authorized agent of the above listed pets. I agree to the choices I have made in this form, and accept full financial responsibility in accordance with these choices.
Signature *

Clear
*

Month Day Year
Submission date
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***This Form Is NOT A Reservation ***

Client Information

Accomodations

General Questions

Vaccine And Testing Requirements

Flea Control

Meals and Feeding Instructions

Comfort Items

Doggy Daycare

VIP Time

Spa Services *(Additional charges apply)

Web Cams

Healthcare Policies and Liabilities

Senior Pet Questions

Financial Responsibility

This Form Is NOT A Reservation