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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