Expedited Boarding Check-In Form Expedited Boarding Check-In **In the order to expedite the check-in for your pet during this busy time, we offer this drop off form.** We have a 48-hour cancellation policy for all boarding reservations. Your deposit will not be refunded if your reservation is canceled within 48 hours prior to your boarding drop off date. If your plans change please be sure to call our office to cancel your boarding reservation.Pet's Name Pet's Name: Last Name: Primary Phone #:Is your pet on flea control? Yes No Date Applied: MM slash DD slash YYYY Does your pet have any pre-exsisting conditions we need to be aware of? Yes No If yes, describe:Has your pet shown any recent symptoms (i.e. coughing, sneezing, decreased appetite, limping, weight loss, itching, etc.)? Yes No If yes, describe:Has your pet been treated for any infectious diseases in the last 30 days (i.e. kennel cough, pneumonia, giardia-diarrhea, parvovirus, etc.)? Yes No If yes, describe:You acknowledge and agree that in the unlikely event your Pet becomes ill or injured, or if your Pet has a pre-existing condition which is aggravated by its stay and requires professional attention, we will attempt to notify you or your Emergency Contact at the telephone numbers you provide. If we cannot reach you, CHAH at its sole discretion, may engage the services of a veterinarian, and/or administer medicine or give other necessary attention to your Pet, and you authorize us to provide any such service at your additional expense. In cases we believe to be critical, we may take your Pet to the veterinarian first before trying to contact you. If you refuse medical treatment for your Pet, CHAH at its sole discretion, may engage the services of a veterinarian and/or administer medicine to make your Pet as comfortable as possible until picked up, and you authorize us to provide any such service at your additional expense. If we cannot reach you, we will make healthcare decisions for your Pet based on the recommendation of available professionals.During your stay whom may we contact in the event of an emergency?In an emergency: Phone #1:Name: In an emergency: Phone #2:Name: FEEDING INSTRUCTIONS Individually bag each of your pets' meals into Ziploc bags. Food that is un-bagged will be separated at a cost of $1.50 per meal. If food is not provided, we offer a sensitive stomach diet at no additional cost to our boarding guests. Please kindly leave feeding bowls at home, we provide our own. Will you be providing your own pet’s food? No (We feed Hills Sensitive Stomach) Yes - Wet Yes - Dry Brand: Feeding Instructions: 1Bag AM 1 Bag Noon 1 Bag PM Pet last ate? AM PM Are you providing treats? Yes No How many? 1X 2X 3X Brand: Medications and supplements need to be brought in the original bottle it was dispensed in with the drug label on it. We cannot accept hand written labels or medication/supplements in baggies. Medication & oral supplements can be given during your pets stay for an additional $1.50 per dose, per medication/supplement. MedicationsQtyMedicationHow MuchHow OftenLast Given Would you like any additional services for your pet during their stay? Anal Glands ($15.00) Ear Cleaning ($15.00) Nail Trim ($15.00) Bath ($25.00 +) Full Service Bath ($40.00 +) FURminator Full Service Bath ($55.00 +) Peanut Butter KONG ($4.00/day) Individual Play time ($5.00) I understand that should any vaccines be overdue, or if I am unable to show proof of vaccinations, my pet(s) will be given the appropriate vaccinations & I will be charged accordingly. We require DA2PP ($26), Bordetella ($22), Canine Influenza ($30) and Rabies ($16). All guest must be on a monthly flea and tick preventative. If fleas or flea dirt is detected, flea control will be applied at an additional charge.If your pet does not have the Canine Influenza vaccine, we will need to administer the first (booster) dose upon check-in. (NOTE: this vaccine is boostered once, then repeated in 3 weeks as a yearly vaccine. The yearly vaccine is an additional charge.) All dogs staying at our facility must be current on monthly flea and tick control. Please be advised that if your pet is not on any current flea and tick control (topical or oral) you will be required to purchase a single month dose from our facility and have it applied at check-in. Additionally, if fleas or flea dirt is detected, flea control will be applied at an additional charge. Signature:Date MM slash DD slash YYYY CAPTCHA