Highland Animal Hospital Boarding Request Form

Boarding Request Form
Submit this form to expedite the reservation process. A member of our boarding staff will call you to confirm availability shortly after your reservation request is submitted.
Owner Information
Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Home Phone
Please enter a valid phone number.
Work Phone
Please enter a valid phone number.
Cell Phone*
Please enter a valid phone number.
E-mail*
example@example.com
Are you a current client of Highland Animal Hospital*

YesNo
What is the best time to reach you by phone?*
Pet Information
Pet's Name*
Species*

DogCat
Approximate weight in pounds (if dog)
Pet #2 Name
Species

DogCat
Approximate weight in pounds (if dog)
Pet #3 Name
Species

DogCat
Approximate weight in pounds (if dog)
Accommodations & Date(s) of Stay

Please tell us the type and quantities of services you are requesting for your pets.
Canine Condos
Small condo for one dog
Medium condo for one dog
Medium condo for two dogs
Large condo for one dog
Large condo for two dogs
Canine Runs/Suites
Indoor run for one dog
Indoor run for two dogs
Indoor run for three dogs
Luxury suite for one dog
Luxury suite for two dogs
Luxury suite for three dogs
Feline Condos
Condo for one cat
Condo for two cats
Dates of Stay
Arrival Date*

MonthDayYear
Date
Departure Date*

MonthDayYear
Date
Submission
Please review the form to ensure all required fields are completed before submitting. We will call you shortly after we receive your boarding reservation request. Please be sure that you have provided a phone number where we can reach you.

Submitting this form does not guarantee a reservation. You must receive a phone call from a member of our staff to verify and confirm that your requested accommodations are available. Highland Animal Hospital boarding staff may decline your request for accommodations if they are deemed too small for your pet.

If you have not received a phone call from our staff within 48 hours of submitting this form, please call our office at 718-433-0467.
I agree to the terms above (please sign below)*

Clear
Today's Date*

MonthDayYear
Date
Should be Empty:

Boarding Request Form

Owner Information

Pet Information

Accommodations & Date(s) of Stay

Dates of Stay

Submission