We required the information below to create a file
for you & your pet so we can better serve your needs.
We
type the information into our computer system ahead of time and it's kept on file for future use.
To get this information to us - - -
Call us & we will take the info over the phone
or
print out & mail us a copy.
*
Owners Last Name (?)
Owners First Name (?)
Mailing
Address (?)
City (?)
State (?)
Zip (?)
Home Phone # (?)
Cell
Phone # (?)
Emergency Contact Person Name (?)
Emergency Contact Person Home Phone # (?)
Emergency
Contact Person Work Phone # (?)
Emergency Contact Person Cell Phone # (?)
Pet Type, Dog
Cat, Bird etc (?)
Pet Name (?)
Pets Breed (?)
Pets Color (?)
Is
Pet Male or Female (?)
Is Pet Spayed or Neutered (?)
Pets Birthday (?)
Pets
Weight (?)
Vet Hospital Name (?)
Vet Hospital Phone # (?)
Date Pets Rabies Vaccination Expires
Month/Day/Year(?)
Date Pets Distemper Combo Vaccinations Expires Month/Day/Year (?)
Date
Pets other Vaccination. List Name and Month/Day/Year Expires(?)
Any Medications you will be bringing for us to give during stay
(?)
If so what is the medication (?)
How is the medication given, in food, injection,
topical etc (?)
Amount each time (?)
Time of day given (?)
Any special instructions for this medication (?)
We do ask that you bring the food
that you want us to feed your pets during their visit. What type of feed will it be, dry, can, semi moist, frozen etc. (?)
Are there instructions with the food, like add water, heat, mix etc (?)
Number of times to feed per day (?)
Times of day you usually feed (?)
Amount of
food per feeding (?)
The following
questions are to help us better serve your pet
Does this
Pet have any problems going up/down steps (?)
Is this pet a big chewer, if so please give samples of things
chewed like bedding, toys etc (?)
What are a few of this Pets Favorite Things, eating, belly rub, playing ball
etc (?)
Does this Pet have any fears, storms etc (?)
Will this Pet prefer to spend more time inside or outside (?)
Does this Pet defend its space and/or food with other pets or people (?)
Does this Pet Love other pets or is
fearful of other pets, dislike certain types etc (?)
Does this Pet love everybody or afraid of strangers, etc (?)
Any Special Needs for this pet(?)
Please give a description of any personal belongings
you plan to bring with your pet so we can try to keep track of them. i.e., a bed, toys, treats etc.(?)
(Reminder,
do not bring food or water bowls from home. It's simply too much to keep track of which bowls belongs to who
through our daily cleaning routines.)
Do you desire any Play Yard Time during visit, if so how often and for what
length of time (?)
Do you desire any Nature Walks during visit, if so how often and for what length of
time (?)
Do you desire any Pet Grooming during the visit (?)
Date of Arrival (?)
Time of Arrival (?)
Date
of Departure (?)
Time of Departure (?)
Do you want us to keep your Pets together while here (?)
if so do they need to be separated to eat (?)
Any other information – or request
(?)