NAME___________________________________________________ 

PHONE (H)_________ PHONE (W)____________________________                                                                        

ADDRESS________________________________________________

CITY____________________STATE__________ZIP______________                                                             

E-MAIL___________________________________________________

DRIVERS LICENSE__________________________________________________                                                                                                                       

1ST DOG’S NAME________________________ BREED ___________

COLOR______________ SEX_________ AGE__________                                      

 Inoculation dates:  DHLPP/C________ Bordetella ___________ Rabies _________

 

2NDDOG’S NAME___________________________ BREED______________

COLOR ______________ SEX_________AGE___________ 

 Inoculation dates:  DHLPP/C_______________Bordetella ________________Rabies____________                           

 

1ST CAT’S NAME___________________ BREED_____________

COLOR_________SEX__________ AGE________                 

Inoculation dates:  Feline distemper___________ Leukemia__________Rabies (optional)__________                                          

 

2NDCAT’S NAME___________________BREED_____________

COLOR___________SEX______________ AGE_________         

Inoculation dates:  Feline distemper__________Leukemia ____________Rabies (optional)_____________                                                     

 

FOR:   •BOARDING    •GROOMING    •DOG DAYCARE    •OTHER                                                                                                                                                

VETERINARIAN & PHONE____________________                                                                                                                                                                                                

 

HAS PET EVER BITTEN ANYONE?  •YES  •NO    DISPOSITION OF PET OR OTHER PERTINENT INFORMATION

(digs, chews, bites, thunder-shy, climbs, jumps fences, medical problems, etc.) _____________________________________________________________________________________                                                                                                                             

_________________________________________________________________________________________                                                                                                                                                                                                                                               

EMERGENCY PHONE CONTACT_________                                                                                                                                                                          

 

How did you hear about us? [  ] Google search [  ] Facebook [  ] Customer Referral (Name)                                                          

 

CHARGES$_______ /DAY_______________                                                                                                                                                                                                   

 

Can we share pictures/video of your dog/cat on our Facebook/website? [  ] Yes [  ] No

 

KENNEL COMFORT PET MOTEL AGREES to give the above named pet(s) full care and to keep kennels sanitary

and properly enclosed.  Pet(s) shall be fed properly and provided with safe, clean sleeping quarters.

Kennel Comfort Pet Motel further agrees to attempt to notify owner if pet(s) should become ill.

 

ALL PETS left in the care of Kennel Comfort Pet Motel personnel or agents are left without liability on the

part of Kennel Comfort Pet Motel for loss, damage from disease, death, running away, theft, fire or injury to

themselves or to other persons or property, or unavoidable causes of other natures.

 

OWNER of said pet(s) authorizes Kennel Comfort Pet Motel to call in a veterinarian of the Pet Motel’s choice

or the veterinarian listed above, if the pet should require medical attention.  Any services rendered by the

veterinarian shall be at the owner’s expense.

 

OWNER further agrees that if the pet(s) is/are found to have parasites, pet(s) will be treated at owner’s expense.

 

OWNER has the right and opportunity at any time during business hours to visit the pet(s).  Pets may not be

removed from the premises until the bill has been paid.

 

OWNER acknowledges that should the pet(s) bite a Pet Motel staff member, the Pet Motel is required by law t

o report the bite and the pet(s) must be quarantined at a veterinarian’s or Pima Animal Control. All charges

accrued at the Pet Motel as well as the quarantine board will be the owner’s responsibility.

 

CHARGES for a pet(s) left more than 30 days will be billed on the first of each month. If these charges are

not paid within two weeks thereafter, the pet(s) may be disposed of by the management after giving

due notice to the owner.

                                                                             

 

The owner’s being overdue 10 days from the return date given

to Pet Motel without notification by phone  , mail, family member,

or friend will constitute abandonment. After effort has been made

to contact the owner at the above listed address and phone

number(s), the animal(s) will be disposed of as management

sees fit, and charges will still be due.

 

OWNER AGREES THAT ANY FEES DUE WILL BE PAID IN FULL AT THE TIME THE PET IS PICKED UP,

OR PET WILL NOT BE RELEASED AND DAILY CHARGES WILL CONTINUE TO ACCRUE

 

Signed,____________________________________________________________________                                                                                                                                              

                Owner/ Agent of Pet(s)                                                                                DATE 

 

 

 

 

 

Guest Information Form for                                                                              Date:                                    

 

In order for us to take the best possible care of your pet while you’re away, please take a moment to answer the following questions:

 

Will your pet be eating our food or yours?  [  ] Kennel food   [  ] My food,                                                                                             

                                                                                                                                                                                (Name of food)

How many times a day is your pet fed?  [  ] Once  [  ] Twice

 

We use a measuring cup for dry food. How many cups of dry food does your pet get at each feeding?                                   

 

For canned food, we measure by tablespoon or by can amount ( ¼ can, ½ can, etc.) Amount:                                                    

 

Does your pet have any allergies or food sensitivities that you are aware of? [  ] No  [  ] Yes

 

If yes, please describe:                                                                                                                                                                                                 

 

Does your pet have any health issues we should be aware of? [  ] No  [  ] Yes

 

If yes, please describe:                                                                                                                                                                                                 

 

Is your pet on any medication that needs to be given during their stay?  [  ] No  [  ] Yes

 

If yes, please list all medication names, strengths, and dosage instructions:                                                                                                                                                                                                                                                                                                          

 

Is your pet on a monthly flea and tick preventative? (Frontline, BioSpot, etc.) [  ] No  [  ] Yes   Type                                          

 

Does your pet become anxious if there are thunderstorms or fireworks?  [  ] No  [  ] Yes

 

If yes, is your pet given medication during these times?  [  ] No  [  ] Yes