Country Paws Boarding Hotel



Country Paws Boarding Hotel

Pet Info

Owner's Last Name________________________

Pets Name________________________________

Male/Female _____ Neutered?______ Breed_______________________ Color____________

Markings___________________ Age___________ Birth Date____________________

If you pet has temperament issues such as shyness, fear or aggression , please describe:

___________________________________________________________________________________

Describe any medical or physical problems______________________________________________

___________________________________________________________________________________

General Questions: The following answers will help us care for your pet as if they were our own.

Has your pet ever been boarded before? ______________________________________________

Does your Pet have separation anxiety issues ____________________________________________

How does your dog get along with other dogs ____________________________________________

How about puppies __________________________________________________________________

What is your dogs favorite activities: Ball______Frisbee ______ Tug o'war______Cuddle______

Belly Rubs_____ Brushing______ Massage_____ Other ____________________________________

Any additional info to help us care for your dog __________________________________________

____________________________________________________________________________________

Owners Name______________________

Address___________________________

City/State__________________________

Phone _____________________________

May we text? _______________________

Emergency Contact Info

Name:_______________________________________Phone________________________________

Name:_______________________________________Phone_________________________________

Veterinary Info: Name of Veterinarian:________________________________________________

Clinic/Phone Number________________________________________________

Date of last DHLPP shot ______________________________________________________________

Date of Bordetalla (we require within 6 months of stay) ____________________________________

Date of Rabies________________________________________

Date and type of Flea Medication _______________________________________________________

Waiver & Assumption to Hold Harmless must be signed

By choosing to utilize the services, participate in activities, grooming or boarding at Country Paws Boarding Hotel, I agree to the fo\\llowing:

..I agree to pay the rates that are in effect at the time my pet is at Country Paws Boarding Hotel.

..If my dog participates in playgroup, I understand that an interactive play setting is not without

some risk of injury, that despite all appearing healthy and being handled with the greatest

amount of care and foresight, dogs are not always predictable and the unexpected may occur. I

recognize that the benefits of an interactive playgroup are valuable to my dog and accept the

potential risks. I further agree to pay veterinary/medical expenses incurred as the result of

injury to or caused by my dog.

..If my pet appears to be ill, I authorize Country Paws Boarding Hotel to engage the services of a

vet at my expense for the treatment of my pet. I agree to pay all vet charges incurred by my pet

while in the care of Country Paws Boarding Hotel. I will not hold Country Paws Boarding Hotel

liable to failure to seek veterinary attention or for decisions made under this contract.

..I understand that Country Paws Boarding Hotel will exercise all diligence in the care of my pet.

I hereby waive and release Kathy Lynd and Country Paws Boarding Hotel from any and all

liability of any nature for injury or damage

..I have read and agreed to all terms of this contract.

_Print/Sign________________________________________________________________________

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