The Pet Lodge of Pinehurst Boarding Contract. What is the best contact number for you?

Transcription

1 Boarding Contract Owner Information Last Name First Name Street City State Zip Phone Home Cell What is the best contact number for you? Guest Information 1. Pet Name Breed Age DOB Color Sex: Male / Female Neutered/Spayed House Broken? Yes No 2. Pet Name Breed Age DOB Sex: Male / Female Color Neutered/Spayed House Broken? Yes No 3. Pet Name Breed Age DOB Sex: Male / Female Color Neutered/Spayed House Broken? Yes No 1

2 Dining Following your pet s customary dining schedule and consuming their usual diet is an integral part of a successful boarding experience. Consistency in their diet is very important to avoid stomach upset! We strongly recommend for your pet s comfort, that you bring their food from home. Please prepackage and portion each meal if possible. We will keep them on the same feeding schedule that they follow at home. Our house food is Purina Pro Plan. We will provide this food for our guest if requested. This service is $ 3.00 per day. Is food provided by owner? Yes No Is food prepackaged per meal? Yes No If no, how much should be served per meal? How many times per day does your pet eat? Feeding Times: 1. (am) 2. (pm) 3. (pm) Does your pet have food allergies? Does your pet have a sensitive tummy? 2

3 Emergency Contacts Any guest needing emergency medical care will be transported to the following facilities: If the emergency occurs during regular business/operating hours, your pet will be taken to the Veterinarian you have listed on this boarding contract. If your pet is not an established patient at a local Veterinarian Hospital, The Pet Lodge of Pinehurst will determine where to take them for emergency care. If the emergency occurs at a time when your veterinarian s office is closed, your pet will be taken to the Small Animal Emergency Clinic on Hwy US 1 in Vass. Please list all emergency contact names and phone numbers In the event of any medical emergency, we will always attempt to contact you first. If you or your emergency contact(s) cannot be reached, The Pet Lodge of Pinehurst will make any decisions necessary for the health and well- being of your pet. I agree that in an emergency, the attending veterinarian has my permission to take the necessary steps to diagnose and treat my pet in accordance with current medical standards. I agree that I am responsible for any costs incurred in this medical emergency. I verify that I have read and fully understand and agree with the terms of this agreement. Pet Owner Date Pet s Name 3

4 IS YOUR PET ON A YEAR ROUND FLEA PREVENTATIVE? YES NO Medications Please bring all prescription medications in their original containers with the pet s name and the correct dosage instructions. If you give medications in different quantities than the label prescribes, please let us know. 1. Pet Name Prescription Name Dosage Instructions: Amount Times Per Day Refrigerate Yes No Additional Instructions Medication Last Taken 2. Pet Name Prescription Name Dosage Instructions: Amount Times Per Day Refrigerate Yes No Additional Instructions Medication Last Taken 3. Pet Name Prescription Name Dosage Instructions: Amount Times Per Day Refrigerate Yes No Additional Instructions Medication Last Taken 4

5 Medical History Does your pet have any pre-existing medical conditions? Yes No If yes, please explain: Does your pet have any allergies? Yes No Please list: Veterinarian Information (we have local vet addresses & phone numbers in our database) Clinic Name Vet Name Address City State Zip Phone Guardian Contacts (Individuals allowed to pick up guests, other than owners) Name Relationship Phone 5

6 Behavior Does your pet ever exhibit unfriendly behavior toward people? Yes No If yes, please explain circumstances Does your pet ever exhibit unfriendly behavior toward other animals? Yes No If yes, please explain Has your pet ever bitten a person or another animal? Yes No Please explain if yes Does your pet seem nervous or uneasy around any particular type of person (such as someone wearing a cap) or in certain situations (such as thunderstorms)? Yes No If yes, please describe Is there anywhere on your pet s body that he/she doesn t like to be touched/handled? Yes No If so, please describe Does your pet have a history of being an escape artist when confined? Yes No Please tell us anything else that you would like for us to know about our guest(s). Pets may not be accepted if they show signs of, or have a history of, severe aggression. We reserve the right to decline service to any pet or individual. 6

7 Lodge Agreement This is an agreement between The Pet Lodge of Pinehurst, LLC (hereinafter called The Pet Lodge of Pinehurst) and the pet owner whose signature appears below. The terms Pet or Guest may refer to a dog or cat, or both, as applicable. 1. Owner has received a copy of The Pet Lodge of Pinehurst Lodge Policies and agrees with the terms and conditions set forth within. 2. Owner agrees to pay the rates for pet care services (as set forth in Lodge Policies ) that are in effect on the date the pet is checked into The Pet Lodge of Pinehurst. 3. Owner certifies that pet(s) will be current on all required vaccinations at the time of lodging and will supply The Pet Lodge of Pinehurst with the appropriate documents and phone numbers of the veterinarian who administered these vaccinations. 4. Owner understands and agrees that in admitting their pet(s), The Pet Lodge of Pinehurst has relied on their representation that their pet(s) are in good health. 5. Owner certifies that their pet(s) have not harmed or shown aggression or threatening behavior towards any person or other pets. I certify that I have read and understand the policies of The Pet Lodge of Pinehurst set forth in this agreement and I will agree to abide by these policies and accept the terms of this agreement. Printed Name of Owner Signature of Owner Date Pet Name Pet Name Pet Name 7

8 Lodge Prices Guest Rates Per Night Canines Room Size 1 st Guest 2 nd, 3 rd and 4 th Guest in Same Room 5 X 6 $ $ per guest 5 X 7 $ $ X 6 $ $ X 7.5 $ $ Felines 1 st Guest 2 nd Guest in Same Condo $ 18 $ 10 8

9 Lodge Policies Check In Guests may arrive any time during our regular business hours. We do prefer that all guests check in at least one hour before closing. Check Out Guests must check out before 12:00 noon to avoid a room charge for that day. Extended Check Out Guests with afternoon appointments at Christy & Dena s Precise Grooming at The Pet Lodge of Pinehurst Spa and Salon, are offered late check out at no additional charge. Vaccinations For the health and safety of our guests, we must have written verification, from a licensed veterinarian, of the following current vaccinations: Canines must have the following three vaccinations: Rabies, Distemper/Parvovirus (DHPP) and Bordatella (Kennel Cough) vaccine. Our Feline guests must have a current Rabies vaccine, as well as a FVRCP (Feline Viral Rhinotracheitis/ Calicivirus/Panleukopenia) vaccine. Minimum Age Puppies and kittens must have completed the full series of vaccinations, including Rabies, no less than 3 days prior to their stay. Bedding and Toys Your pet may bring their own blanket and bed if they are machine washable. Please bring one or two toys that your pet may enjoy during their stay. External Parasites All of our guests will be checked for fleas upon arrival. If fleas are detected on your pet at any time during their stay, we will discuss treatment options with you. We use Capstar, an oral treatment that kills adult fleas. To learn more about this safe and effective treatment, please inquire at the front desk. You may also find this information on the web at Internal Parasites If internal parasites are detected, we will contact you to discuss treatment options. 9

10 10