Feline Lodging Form Feline Lodging Registration Form This is not a reservation, please call 610-489-2848 to make your reservation. Essentials Name * Name First First Last Last Pet’s Name * Phone # where you can be reached (preferably a cell #) * Email * In case of emergency contact * Phone # * Veterinarian Name * Phone # * Email Can we reach you during this time? * Yes No If someone other than the owner will be dropping off or picking up, please give their name and contact information: Does your pet have any medical conditions or needs that we need to be aware of? * Yes No Medical lodging is an option if your pet needs extra attention during their stay. Please list any medication with dosage and directions Is there anything about your pet’s temperament that we need to be aware of? * Yes No What temperament issues should we be aware of? * Does your dog have any allergies? Food? Seasonal? Chemical? Etc.? * Yes No What allergy issues do they have? * Is your pet currently on flea and tick preventative? * Yes No Date Last Given Brand Lodging Information Are you lodging 2 + pets? * Yes No If yes, please fill out a separate form for each pet Can they share a suite? * Yes No Guests may be separated depending upon guests’ behavior, feeding schedules, etc Feline Lodging is $31.50 per day – includes meals, clean bedding, fresh water and 30 minutes of free time Pet Health Warranty Program This warranty program is not optional all are automatically enrolled! By checking you acknowledge you have read this. The Pet Health Warranty Program will be $1.75 a day and covers any illness or injury that happens during a pets stay or up to three days after up to $400.00 in services with us with two exceptions: 1) pre-existing conditions 2) injuries inflicted on one pet by another when clients elect pets to share a run. I understand Extras In HTAC, because we know all pets have different needs, we are offering some extra goodies for your pet. Please select what you would like to add and how often. Extra Free Time $5.00 for an additional 15 minutes $8.75 for an additional hour For those guests that need to burn a little more energy How often? Everyday Every other day OtherOther Cozy Corner – 15 or 30 minutes of some TLC 15 minute session 30 minute session For those guests that need some relaxing one on one time. $20.00/15 minutes How often? Everyday Every other day OtherOther FEEDING INSTRUCTIONS Are you providing your own food for your pet? * Yes No If yes, Brand (Must be bagged per meal) If no, what house food (Science Diet) would you like us to offer? HTAC Adult Diet HTAC Kitten Diet Please provide feeding instructions AM Noon PM If your pet runs out of their own food, can they be offered house food? Yes No If your pet is not eating while in HTAC, we will attempt to entice them to eat by adding warm water, canned food or baby food.) Snack Bar Tuna - Little extra treat offered at lunch, $4.00/daily Filtered Water- ice cold filtered water provided for your pet, $2.75/daily How Often? Everyday Every other day OtherOther Canine Spa Services Happy Tails Nail Trim – nails clipped to a comfortable length, $15.75 If interested in a bath for your feline friend, please ask the receptionist. Lodging Rules and Regulations Please read & check each box, by checking the box you are indicating that you have read and understand each item. Lodging fees are based on date to date, this means you are charged the day you drop off and the day you pick up. Ex. Friday to Sunday = 3 days of lodging. If you pick up before 10am Monday – Saturday you will not be charged for the day. If you pick up before 12pm on Sunday you will not be charged for the day. Open ended lodging reservations or reservations over 2 weeks will result in a deposit at the time of drop off and you must leave a credit card number to be charged weekly * I understand For the protection of your pet every pet must be up to date on vaccinations PRIOR TO LODGING. If Limerick Veterinary Hospital is not your vet, written proof is required from your vet. For feline lodging we require Rabies (by law), FVRCP (feline distemper), and a clean fecal sample tested within the last 12 months. We also need proof that your cat has been tested negative for FeLV/FIV. If this test has not been done, it is required in Happy Tails for your cat to have free time. * I understand If a fecal sample is being tested during your pets stay and the results come up positive for parasites, medication will be prescribed and administered at the owners’ expense * I understand Any pet that lodges in Happy Tails is subject to a one time per stay Hazardous Waste Disposal Fee of $9.25 * I understand Medication may not be hidden in your pets’ food. Our staff needs to be aware of all medications our guests are taking, and we want to ensure each pet is taking their medication. If medication is found in your food you will be charged appropriately. Once Daily: $5.50, Twice Daily: $10.00, Three times Daily: $13.50, Four times Daily: $18.25 * I understand If your pet arrives with fleas and/or ticks he/she will be bathed and treated with a flea and tick product at the owner’s expense. All means to contact you will be conducted * I understand A charge will be applied to each day of lodging for any pet that requires special handling due to temperament or has special needs due to medical problems. This is determined by management. * I understand We DO NOT allow leashes, collars, harnesses, beds, blankets or toys to be brought from home. We will provide clean and soft bedding for your pet during his/her stay with us. We WILL allow some items needed for medical conditions, such as a slings, diapers, etc. Carriers may be left in HTAC for pick up. * I understand Prices may change without prior notice. * I understand By signing below, I acknowledge that I understand EACH of these rules and regulations of Happy Tails. Signature * signature keyboard Clear Date * Any questions please call: 610-409-9197 or 610-489-2848 ext. 22 Submit Captcha If you are human, leave this field blank.
