Hotel Check In Form

Emergency Contact #1 Name:*

Emergency Contact #1 Phone Number:*

Emergency Contact #2 Name:*

Emergency Contact #2 Phone Number:*

Patient Information:

Pet's Name

Age / DOB

Species

Breed

Color/Markings

Sex

Female Intact

Female Spayed

Male Intact

Male Neutered

Pet #2

Pet's Name

Age/DOB

Species

Breed

Color/Markings

Sex

Female Intact

Female Spayed

Male Intact

Male Neutered

Single Dog Boarding $69/Day Multi-Pet Dog Boarding $64/Day Single Cat Boarding $47.75/Day Multi-Pet Cat Boarding $42.50/Day Pick up times after 1pm results in full day charge

Boarding Dates*

Check In:
Time:
Check Out:
Time:

Diet and Feeding Information

Please check one:*

Brought Own Food

Pet Hotel Food (Hills Sensitive Skin and Stomach Dry Food)

Meals Per Day*

Breakfast

Lunch

Dinner

Amount per meal (Please be specific):*

Does your pet have any food limitations (e.g., allergies, sensitivities)?*

Yes

If yes, please describe:

Can your pet have our treats (Dogs: Milk Bones. Cats: Temptations or Churus)?*

Yes

Medical Information

My pet is on flea/tick/parasite prevention*

Yes

If yes:

What brand:
When was last dose given:

Current Medications/Supplements (include name, dosage, frequency, and last given): *All medications/supplements MUST be in their original labeled containers. Medication Fee: (Includes supplements & prescription medications): $10.50-$21/day

Medication 1:

Medication name:
Dosage:
Frequency:
Last Given:

Medication 2:

Medication name:
Dosage:
Frequency:
Last Given:

Medication 3:

Medication name:
Dosage:
Frequency:
Last Given:

Are there any other medical conditions we should be aware of (e.g., limping, allergies, sight loss, coughing/ sneezing)? NO/ YES:*

Emergency Medical Consent *Please be aware that if we are unable to reach you or your emergency contact, and your pet requires medical attention as deemed necessary by our veterinary team, your signed boarding contract authorizes our veterinarians to perform treatment and diagnostics, for which the owner is responsible for the associated costs.

Please check one:*

Perform any medical diagnostics/treatment as deemed necessary, regardless of price.

Perform any medical diagnostics/treatment as deemed necessary, only up to $___________.

Please call/text for consent before providing any medical diagnostics/treatment.

Other

Additional Services:

Additional Outside Play Time / Cuddle Time – $10.50 per session

Yes

Number of sessions per (choose one)

Day
Stay

Frozen Kong – $7.85 per treat

Yes

Number of Kongs per (choose one)

Day
Stay

Peanut Butter Dippers – $6.90 per treat

Yes

Number of PB Dippers per (choose one)

Day
Stay

Catnip Frenzy – $5.80 per playtime session w/catnip

Yes

Number of sessions per (choose one)

Day
Stay

Pet Luggage: Please list all items brought with your pet:*

Acknowledgment and Agreement

By signing below, I acknowledge and agree to the terms listed on this form, verify the information provided is correct, and agree to the charges listed above.

Owner's Signature:
Date: