NEW CUSTOMER RESERVATION REQUEST New Customer Reservation Request We will send a confirmation email to you within 48 hours to let you know the status of your reservation. If you need to board within 48 hours, please call so that we can verify your reservation immediately over the phone. **IF YOU HAVE NOT RECEIVED A CONFIRMATION WITHIN 48 HOURS, PLEASE GIVE US A CALL Name * Name First First Last Last Spouse Spouse First First Last Last Home Phone Number Cell Phone Number * Spouse's Cell Phone Number Email * Address Address Address Address City City State/Province State/Province Zip/Postal Zip/Postal Country Afghanistan Aland Islands Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bonaire, Sint Eustatius and Saba Bosnia and Herzegovina Botswana Bouvet Island Brazil British Indian Ocean Territory Brunei Bulgaria Burkina Faso Burundi Côte d'Ivoire Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos (Keeling) Islands Colombia Comoros Congo Cook Islands Costa Rica Croatia Cuba Curacao Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic East Timor Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands (Malvinas) Faroe Islands Fiji Finland France French Guiana French Polynesia French Southern Territories Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guernsey Guinea Guinea-Bissau Guyana Haiti Heard Island and McDonald Islands Holy See Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Ireland Isle of Man Israel Italy Jamaica Japan Jersey Jordan Kazakhstan Kenya Kiribati Kosovo Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macao Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia Moldova Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island North Korea Northern Mariana Islands Norway Oman Pakistan Palau Palestine Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Poland Portugal Puerto Rico Qatar Reunion Romania Russia Rwanda Saint Barthelemy Saint Helena, Ascension and Tristan da Cunha Saint Kitts and Nevis Saint Lucia Saint Martin (French part) Saint Pierre and Miquelon Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Sint Maarten (Dutch part) Slovakia Slovenia Solomon Islands Somalia South Africa South Georgia and the South Sandwich Islands South Korea South Sudan Spain Sri Lanka Sudan Suriname Svalbard and Jan Mayen Swaziland Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Timor-Leste Togo Tokelau Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States United States Minor Outlying Islands Uruguay Uzbekistan Vanuatu Vatican City Venezuela Vietnam Virgin Islands, British Virgin Islands, U.S. Wallis and Futuna Western Sahara Yemen Zambia Zimbabwe Country Drop off date * Pick up date * Would you like your dog to get a bath before going home? (Sorry, we do not bathe cats) YES NO Comments Comments - Please give us any information regarding your reservation that you would like us to know. If other people may pick up your pet, please provide their names and relationship to you, such as son, mother, friend, etc. Please remember that all of these people must show a photo ID. Payment is required when services are rendered and/or at departure. We accept VISA, MasterCard, Discover and Cash. How did you hear about us? * Vet Clinic Name * Vet Phone Number * Vet Address Vet Address Vet Address Vet Address City City State/Province State/Province Zip/Postal Zip/Postal Country Afghanistan Aland Islands Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bonaire, Sint Eustatius and Saba Bosnia and Herzegovina Botswana Bouvet Island Brazil British Indian Ocean Territory Brunei Bulgaria Burkina Faso Burundi Côte d'Ivoire Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos (Keeling) Islands Colombia Comoros Congo Cook Islands Costa Rica Croatia Cuba Curacao Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic East Timor Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands (Malvinas) Faroe Islands Fiji Finland France French Guiana French Polynesia French Southern Territories Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guernsey Guinea Guinea-Bissau Guyana Haiti Heard Island and McDonald Islands Holy See Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Ireland Isle of Man Israel Italy Jamaica Japan Jersey Jordan Kazakhstan Kenya Kiribati Kosovo Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macao Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia Moldova Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island North Korea Northern Mariana Islands Norway Oman Pakistan Palau Palestine Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Poland Portugal Puerto Rico Qatar Reunion Romania Russia Rwanda Saint Barthelemy Saint Helena, Ascension and Tristan da Cunha Saint Kitts and Nevis Saint Lucia Saint Martin (French part) Saint Pierre and Miquelon Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Sint Maarten (Dutch part) Slovakia Slovenia Solomon Islands Somalia South Africa South Georgia and the South Sandwich Islands South Korea South Sudan Spain Sri Lanka Sudan Suriname Svalbard and Jan Mayen Swaziland Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Timor-Leste Togo Tokelau Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States United States Minor Outlying Islands Uruguay Uzbekistan Vanuatu Vatican City Venezuela Vietnam Virgin Islands, British Virgin Islands, U.S. Wallis and Futuna Western Sahara Yemen Zambia Zimbabwe Country I will be boarding and entering information for: (check a box for EACH pet) Pet 1 Pet 2 Pet 3 Pet 4 Pet 5 Pet 6 Checking a box provides a detail section for the corresponding pet. Please check one box for every pet you are boarding. Pet Information Pet 1 Name Pet 1 Type DOG CAT Pet 1 Gender MALE FEMALE Pet 1 Breed For mixed breeds please give us additional information (i.e. Mixed Lab and Golden Retriever) Pet 1 Age (i.e. 7 yrs.) Pet 1 Approximate Weight (lbs.) Pet 1 Medical History Pet 2 Information Pet 2 Name Pet 2 Type DOG CAT Pet 2 Gender MALE FEMALE Pet 2 Breed For mixed breeds please give us additional information (i.e. Mixed Lab and Golden Retriever) Pet 2 Age (i.e. 7 yrs.) Pet 2 Approximate Weight (lbs.) Pet 2 Medical History Pet 3 Information Pet 3 Name Pet 3 Type DOG CAT Pet 3 Gender MALE FEMALE Pet 3 Breed For mixed breeds please give us additional information (i.e. Mixed Lab and Golden Retriever) Pet 3 Age (i.e. 7 yrs.) Pet 3 Approximate Weight Pet 3 Medical History Pet 4 Information Pet 4 Name Pet 4 Type DOG CAT Pet 4 Gender MALE FEMALE Pet 4 Breed For mixed breeds please give us additional information (i.e. Mixed Lab and Golden Retriever) Pet 4 Age (i.e. 7 yrs.) Pet 4 Approximate Weight Pet 4 Medical History Pet 5 Information Pet 5 Name Pet 5 Type DOG CAT Pet 5 Gender MALE FEMALE Pet 5 Breed For mixed breeds please give us additional information (i.e. Mixed Lab and Golden Retriever) Pet 5 Age (i.e. 7 yrs.) Pet 5 Approximate Weight Pet 5 Medical History Pet 6 Information Pet 6 Name Pet 6 Type DOG CAT Pet 6 Gender MALE FEMALE Pet 6 Breed For mixed breeds please give us additional information (i.e. Mixed Lab and Golden Retriever) Pet 6 Age (i.e. 7 yrs.) Pet 6 Approximate Weight Pet 6 Medical History Payment is required when services are rendered and/or at departure. We accept VISA, MasterCard, Discover and Cash. Please give us any information regarding your reservation that you would like us to know. If other people may pick up your pet, please provide their names and relationship to you, such as son, mother, friend, etc. Please remember that all of these people must show a photo ID. Charges are by the night, with check-out time at 12 noon. Scheduling your dog for a bath at the end of your visit (for an additional fee, call for pricing) extends check-out time from noon to closing on the same business day, except on Sundays. You are always charged for Sunday’s board. (Sorry, we do not bathe cats.) **Once you have received a conformation email, please print and bring it when dropping off your pet. Over the holidays, we’re working our tails off! Feel free to call and schedule your pet’s appointment instead! Email reservations cannot be guaranteed until you receive our confirmation email. * I have read and accept the above statements. reCAPTCHA If you are human, leave this field blank. Submit
