Boarding Dates:*
Date In:* Date Out:* *Required Information
IMPORTANT-Required!*
I / WE UNDERSTAND THAT THE PET LODGE DOES NOT TAKE PITBULLS AND THAT A PITBULL MIX MUST UNDERGO A TEMPERAMENT TEST AT LEAST 72 HOURS BEFORE BOARDING OVERNIGHT.
Owner Information
Last Name:*
First Name:*
Street Address:*
Apt #:
City:*
State:*
Zip Code:*
Email Address:*
For Email Confirmation
Home Phone:*
Work Phone:*
Mobile Phone:
Emergency Contact 1:*
Phone:*
Relation:
Emergency Contact 2:*
Phone:*
Relation:
We will call your Vet to verify vaccination records. Please enter info here:
Veterinarian Name:*
Veterinarian Phone:*
 
How did you hear about us?*
 
Pet Information
Name:*
Type:*
(specify)
Breed:*
Color:*
Sex:*
Male Female
Status:*
Age:*
Weight:*
Board Type:*
   
Grooming:
Grooming Bath = performed by groomer(bath, brush, nails, ears,anal glands)
 
  Mini Groom = performed by groomer (bath, brush, nails, ears, anal glands, and cutting of the face,feet, and fanny)
  Full Groom = performed by groomer (bath, brush, nails, ears, anal glands, and any cut to owner's specifications)
Isolate Pet?:*
Animal Warnings:
On Medication:


Special Instructions:
Pet Information - Pet 2
Name:*
Type:*
(specify)
Breed:*
Color:*
Sex:*
Male Female
Status:*
Age:*
Weight:*
Board Type:*
   
Grooming:
Grooming Bath = performed by groomer(bath, brush, nails, ears,anal glands)
 
  Mini Groom = performed by groomer (bath, brush, nails, ears, anal glands, and cutting of the face,feet, and fanny)
  Full Groom = performed by groomer (bath, brush, nails, ears, anal glands, and any cut to owner's specifications)
Isolate Pet?:*
Animal Warnings:
On Medication:


Special Instructions:
*I have read the Boarding/Grooming Contract and agree to terms.
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