Boarding Form

Pet Name*

Check-In Date*

Check-Out Date:*

Current Veterinary Clinic:*

I permit photos or videos of my pet to be posted on the Bradford Hills Pet Hotel Website or Facebook page. Posts may include the pet’s first name and breed but will not include any other identifying information. Photos can be removed at any time at the owner’s request.*

Yes

Diet Information

Brand of Food*

How many meals per day*

How much per meal (Please be VERY specific)*

Which meals still need to be fed today?*

Breakfast

Lunch

Dinner

May we entice your pet to eat?
*(We use warm water, low-sodium chicken/turkey broth, or wet food mixed with water)**

Yes

Does your pet have any food limitations?
*(Ex: allergies or pancreatitis)**

My Dog can have Milkbones*

Yes

If my pet starts having diarrhea, I permit to administer a G.I. supplement. $5.00 per day
*(we use Endosorb)**

Yes

If my pet is showing signs of anxiety, I permit to administer Zylkene Nutritional Supplement. $5.00 per day*

Yes

If my dog runs out of food I permit to use the PH dry food (Science Diet Sensitive Stomach and Skin Chicken).*

Yes

I would like my pet to be groomed
*If yes, fill out a Grooming Release Form and bring it with you at check-in**

Yes, groom my pet

No grooming needed

Medical Information

Medication Fees (please select one)

Medication Fee Supplements $5.00: Includes Supplements & Vitamins, pets that get more than 3 meals per day or special feeding times or instructions

Medication Fee $9.00: Includes Supplements and Prescription Meds

Medication Diabetic/Extensive Medication Fee $15.00-$24.00: Includes Intermediate Medical, Diabetic, Sub Q fluids, Injectable medication, Pets that need additional support to walk/go potty, 5 or more medications/supplements per day.

Difficult Medication Fee additional $9.00

Medication Information (include name and dose/frequency)

Medication 1
Medication 2
Medication 3
Medication 4
Medication 5

Do we need to administer any Medications today?
Please specify

When was the last time Medications were given? Please give specific times.

Has your pet been coughing or sneezing lately?*

Yes

If yes, please explain.

Are there any other medical conditions we should be aware of when caring for your pet?
Ex: limping, allergies, sight loss, deafness?

Dog Packages

All packages include lodging, bedding, dry food, water, bowls, fenced-in outside/potty breaks 4x daily & Milkbones

Please choose ONE package below and any appropriate services*

	Package Selection	Playtime (Gold & Platinum ONLY)	Cuddle time (Gold & Platinum ONLY)	Outside time (Gold & Platinum ONLY)
Silver Package (Client $55/day, Non-Client $57/day)
Gold Package (Client $60/day, Non-Client $65/day) Includes one session of a one-on-one activity service every other day of your pet's stay
Platinum Package (Client $67/day, Non-Client $73/day) Includes one session of a one-on-one activity service every day of your pet's stay

Add a food service to your dog's package:

	Every Day	Every Other Day	Custom (let us know at Check-In)
Frozen Kong: $6.00 per treat
Peanut Butter Dippers: $5.00 per treat
Bedtime Snack: $5.00 per treat

Add additional activity services to your dog's package:
$15 per service, per day

	Every day	Every other day	Custom (let us know at check-in)
Playtime
Cuddle time
Outside Time

Cat Packages

All packages include lodging, free roam exploration 2x daily, dry food, water, bowls, litter, litter box, bedding and toys.

Please choose ONE package below and any appropriate services

	Package Selection	Playtime (Gold & Platinum ONLY)	Cuddle time (Gold & Platinum ONLY)	Exploration time (Gold & Platinum ONLY)
Silver Package (Client $36/day, Non-Client $41/day)
Gold Package (Client $40/day, Non-Client $46/day) Includes one session of a one-on-one activity service every other day of your pets stay
Platinum Package (Client $46/day, Non-Client $51/day) Includes one session of a one-on-one activity service every day of your pets stay

Add a food service to your cat's package

	Every Day	Every Other Day	Custom (let us know at Check-In)
Kitty Churu $4.00 per serving
Pounce or Friskies Treats $4.00 per serving
Tuna & Crackers $4.00 per serving

Add additional activity services to your cat's package:
$15 per service, per day

	Every day	Every other day	Custom (let us know at check-in)
Play time
Cuddle time
Exploration time

Pet Luggage:

List all the items you brought:*

Emergency Contact:

Name*

Number*

Pet Medical Issues:*

Pet Allergies:*

By initialing I agree to all the terms listed in the client contract as well as the charges listed above. An updated client contract can be provided upon request. If your pet requires the medical boarding charge, a credit card is recommended to be kept on file in case of emergencies.
Initial below*