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 - Pet 1
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:
Pet Information - Pet 3
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 4
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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