BOARDING RATES:
• Dogs: $15/night
• Cats: $10/night
• 10% Discount to Veterans & Active Military

GROOMING/SERVICE RATES:
• Medication/Special Care: $1/day+
• Drop off & pick up service available: $30+
• Bath, blow dry, brush: $25
• De-shedding brush: $15
• Nail trim: $10
• Ear cleaning: $5

Client & Pet Information *If using a touch screen Mobile Device use 2 fingers to scroll form.

Last Name *

Pet Owners Name

First Name *

Pet Owners Name

Address *

City *

State *

Please write full name of State. NO ABBREVIATIONS

Zip Code *

Email *

Repeat Email below to check for spelling errors.

Confirm Email *

Home Phone *

Numbers Only. NO DASHES OR SPACES! i.e. 4358825266

Cell Phone (1) *

Numbers Only. NO DASHES OR SPACES! i.e. 4358825266

Cell Phone (2)

Numbers Only. NO DASHES OR SPACES! i.e. 4358825266

Emergency Contact Name

Please Use First & Last Name

Emergency Contact Phone

Numbers Only. NO DASHES OR SPACES! i.e. 4358825266

Requested Services *

Dog/Cat Boarding   Obedience Class   Resident Obedience Training   Gun Dog/Trained Retrieve Training  Choose from the options above.

Comments:

Pet's Name (1) *

If you have multiple pets there is space for up to 4 entries below.

Pet Type (1) *

Dog   Cat

Breed (1) *

i.e. Labrador Retriever

Pet Color (1) *

i.e. Dark Brown

Gender (1) *

Please Choose an Option Male Female

Spayed/Neutered (1) *

Please Choose an Option Yes No

Pet's Birth Date (1)

MMDDYYYY. Numbers Only. NO DASHES OR SPACES! i.e. 06062011

Pet's Weight (1)

In Pounds (lbs.) Numbers Only. No Additional wording. Round up to nearest pound.

Special Needs (1)

Include Instructions for care, medication, medical conditions, aggression, etc.

Vet Clinic Name (1) *

Vet Phone (1) *

Numbers Only. NO DASHES OR SPACES! i.e. 4358825266

Pet's Name (2)

If you have multiple pets there is space for up to 4 entries below. If you only have 1 pet please scroll down to the bottom of this form and submit. Thank You.

Pet Type (2)

Dog   Cat

Breed (2)

i.e. Labrador Retriever

Pet Color (2)

i.e. Dark Brown

Gender (2)

Please Choose an Option Male Female

Spayed/Neutered (2)

Please Choose an Option Yes No

Pet's Birth Date (2)

MMDDYYYY. Numbers Only. NO DASHES OR SPACES! i.e. 06062011

Pet's Weight (2)

In Pounds (lbs.) Numbers Only. No Additional wording. Round up to nearest pound.

Special Needs (2)

Include Instructions for care, medication, medical conditions, aggression, etc.

Vet Clinic Name (2)

Vet Phone (2)

Numbers Only. NO DASHES OR SPACES! i.e. 4358825266

Pet's Name (3)

If you have multiple pets there is space for up to 4 entries below. If you only have 2 pets please scroll down to the bottom of this form and submit. Thank You.

Pet Type (3)

Dog   Cat

Breed (3)

i.e. Labrador Retriever

Pet Color (3)

i.e. Dark Brown

Gender (3)

Please Choose an Option Male Female

Spayed/Neutered (3)

Please Choose an Option Yes No

Pet's Birth Date (3)

MMDDYYYY. Numbers Only. NO DASHES OR SPACES! i.e. 06062011

Pet's Weight (3)

In Pounds (lbs.) Numbers Only. No Additional wording. Round up to nearest pound.

Special Needs (3)

Include Instructions for care, medication, medical conditions, aggression, etc.

Vet Clinic Name (3)

Vet Phone (3)

Numbers Only. NO DASHES OR SPACES! i.e. 4358825266

Pet's Name (4)

If you have multiple pets there is space for up to 4 entries below. If you only have 3 pets please scroll down to the bottom of this form and submit. Thank You.

Pet Type (4)

Dog   Cat

Breed (4)

i.e. Labrador Retriever

Pet Color (4)

i.e. Dark Brown

Gender (4)

Please Choose an Option Male Female

Spayed/Neutered (4)

Please Choose an Option Yes No

Pet's Birth Date (4)

MMDDYYYY. Numbers Only. NO DASHES OR SPACES! i.e. 06062011

Pet's Weight (4)

In Pounds (lbs.) Numbers Only. No Additional wording. Round up to nearest pound.

Special Needs (4)

Include Instructions for care, medication, medical conditions, aggression, etc.

Vet Clinic Name (4)

Vet Phone (4)

Numbers Only. NO DASHES OR SPACES! i.e. 4358825266

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