Boarding Information and Release Form

• Owner's Name*

  Please enter your name.
• Best number to contact you*

  Please enter your phone number.

  This isn't a valid phone number.
• Emergency contact name*

  Please enter your name.
• Emergency contact number*

  Please enter phone number.

  This isn't a valid phone number.
• Primary Email*

  Please enter your email address.

  This isn't a valid email address.

Required vaccinations/exams

Dogs: Distemper, Parvo, Annual Bordetella, Rabies vaccinations and a negative fecal exam within one year. Cats: Distemper and Rabies vaccinations and a negative fecal exam within one year. Exotics: Negative fecal exam within one year. If vaccinations are not current, the necessary vaccines/ fecal exam will be done at the time of admission.

Pet Information

• Pet Name*

  Please enter your pet's name.
• Breed*

  Please enter breed.
• Approximate Weight*

  Please enter breed.

Reservation Information

Drop off and pick up times for boarding are Mon-Fri 7AM-4PM and Saturdays from 8AM-4PM. PLEASE NOTE that we have no hours for pick up or drop off on Sundays.

PLEASE NOTE: Cats must be in a carrier for arrival and departure. For the safety of your cat, yourself, and our staff we ask that you follow this important rule. If needed we have cardboard carriers available for sale.

• Has your pet boarded at another facility in the last 30 days?*

  • Yes
  • No

  Please make a selection.

• Have you already made a boarding reservation?*

  • Yes
  • No I will call 910-799-2970 to make a reservation
  • No Please call me to let me know if there is room for this reservation

  Please make a selection.
• Drop Off Date*
• Drop off time* 7am (not available on Saturdays) 8am 9am 10am 11am 12pm 1pm 2pm 3pm 4pm

  Please make a selection.
• Pick Up Date*

Flea Control

• Is your pet on a monthly flea preventative? *

  • Yes
  • No

  Please make a selection.
• If yes, what brand?

  (Please note that if fleas are noted on any boarding animal, that animal will be treated immediately with an appropriate product. There will be an additional charge for any necessary flea treatment.)

Feeding Instructions

• Are you bringing food for your pet? If not, we provide age appropriate diets.*

  • Yes
  • No

  Please make a selection.

  ( Please note that switching diets suddenly can cause GI upset in some animals.)

• If yes, what kind of diet are you leaving?
• How many times a day should we feed your pet? *

  Please enter how many times to feed per day

• If once, when should we feed your pet?

  • AM
  • PM

• Please list detailed feeding instructions, including the amount to be fed at each meal and when your pet last ate prior to arrival. If you are bringing treats, please list specific instructions.*

  Please enter a message.

Bathing and Grooming

• Would you like your pet bathed or groomed during his/her stay? *

  • Bath - (Bath is on day of pick up after 2pm. If doing daycare, pick up is after 4pm)
  • Groom (Hair Cut) - (Groom will be during boarding. Please call for pick up time. Please allow for time to fill out the grooming release form and speak to the groomer at drop off. A grooming appointment must be made prior to drop off.)
  • No Bath or Groom
  • Nail Trim Only

  Please make a selection.

Medications and Special Instructions

• Does your pet need any medications?* (Please bring medications in clearly labeled bottles. Medication can not be pre-mixed into meals.)

  • Yes
  • No

• Please list medications (Please include instructions: Including drug name, dose, and frequency/how often they should receive drug.)
• When will the next dose of medication be due after drop off?

  (Please include Date and Time)

• Please list the reason your pet takes these medications

Personal Belongings

• Please list any articles that you are leaving with your pet.

  (Please note that we provide bowls and bedding. We do not give pets anything that could be a choking hazard. If any rawhide or bones are left that could pose a choking risk they will not be left your pets enclosure overnight.)

  Please note that if you wish to leave belongings with your pet we will do our best to treat them with care. However, please be aware that these items may be damaged or soiled during your pet's stay. If possible, please write your name on any belongings left. Please do not leave anything irreplaceable.

Additional Services

The following services may be added to make your dog or cats stay more enjoyable. If you do not wish to add services daily, you may choose how often and on which days these services are provided. Please select any additional services you would like for us to provide below.

Dogs

Base boarding prices are as follows: Small suite $40/night, Large Suite $45/night, Luxury Suite $55/night. This price includes daycare or 4 daily outside breaks.

• Doggy Daycare (Mon-Sat)

  • Yes, my dog currently attends NAH daycare
  • Yes, I am interested, I will fill out the separate doggy daycare application
  • No, I am not interested

  (Please note that a daycare application must be filled out and temperament test passed before dogs can participate in daycare.)

• Canine Individual Playtime ($13 for 20 minutes)

  • Daily
  • Sunday Only
  • Other
  • No

  (Unfortunately we can not split one session into two ten minutes sessions but you are welcome to purchase more than one playtime session per day (up to two per day). Individual time is a great option for dogs that need some extra attention but can not attend daycare.)

• Frozen Peanut Butter Kong ($5)

  • Daily
  • Sunday Only
  • Other
  • No

Cats

The base rate for feline boarding is $22/night.

• Play in the kitty playroom overlooking the lobby ($7 for 30 minutes)

  • Daily
  • Other
  • No

• Feline Individual Playtime ($7 for 10 minutes)

  • Daily
  • Other
  • No

Additional Services on Last Day

The base rate for feline boarding is $22/night.

• If your pet is doing individual time or kitty playroom time, would you like this done on the last day?

  • Yes
  • No

• If your pet is doing daycare, would you like them in daycare on their last day?

  • Yes
  • No

Liability Release

• • I acknowledge that I understand that medical problems may arise in my absence. Should the hospital not be able to reach me or my emergency contact within a reasonable amount of time, I authorize the attending veterinarian to administer the minimal medical treatment required to ensure the health and safety of my pet. I will also assume full responsibility for any expenses incurred. I acknowledge that I understand there is no staff on the premises overnight. I certify that I have read and agree with the boarding requirements and understand the hospitals policies..*

  Please make agree to terms