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Canine Boarding Form Request
This is a request form for canine boarding. Upon submission, we will contact you to verify the availability of the date(s) requested.

Completing this form prior to your arrival will permit us to expedite the drop off process. Please permit additional time if your dog will need medications or other services while boarding. ***For the safety of your dog, our staff, and our other patients, please make sure your dog is on a leash when dropping off***

Client Contact Information
First Name *
Your answer
Last Name *
Your answer
Contact Telephone Number *
Your answer
Alternate Contact Name
Your answer
Alternate Contact Telephone Number
Your answer
Check In Date *
MM
/
DD
/
YYYY
Check Out Date *
MM
/
DD
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YYYY
Day of Check Out *
Your answer
Estimated Pick up Time *
There is a late pick up fee of $10.50 for picking up after 3PM.
Time
:
Pet Information
Dog's Name *
Your answer
Standard Boarding Services Provided
~Veterinarian Supervision ~Licensed Veterinary Technician Monitored ~Three exercise periods per day ~Feeding Sensitive Stomach and Skin ~Administration of Medications and/or supplements
Daily Boarding Rates *
We require a clean-up bath for a stay longer than one night. $15.00
Feeding
We will feed our dry food or feed your provided food at no additional cost.
Owner Provided Food
***If your pet runs out of the food you provided while boarding: If it is a food CHFA stocks, we will open a new bag/can(s) and invoice accordingly. If it is not a food CHFA stocks, we will feed your pet our standard boarding food at no additional cost.
Frequency of Feeding *
Choose only one
Food Quantity *
Indicate if Dry, Wet or Mixed. Also indicate the amount (ie: 1 cup, 1/2 can, etc.) per meal.
Your answer
Next Feeding Due
Optional Packages & Services
Fur-Get Me Not
*Receive a photo and update of your pet via text message or email. A fun way to stay in touch while in our care! □ confirmed above info
Email Address
This is for the Fur-Get Me Not Photo package listed above.
Your answer
Text Message Number
This is for the Fur-Get Me Not Photo package listed above.
Your answer
Doggie Daycare Stay & Play Package
If your dog loves to romp and play, spend the day @ The Crate Escape.
Stay and Play Email Address
This is for the Stay and Play Photo package listed above.
Your answer
Stay and Play Text Message Number
This is for the Stay and Play Photo package listed above.
Your answer
Extra Stretch The Legs Walk
This will add a 4th walk per day. Intended for the pet with arthritic pain, or who cannot participate in daycare.
Brush Out
Keep your pet looking good between groomings!***If your pet is matted, we reserve the right to cancel this service.***
Nail Trim
Help protect your floors and your pet with routine nail trims.
Ear Cleaning
Give your pet a squeaky clean ear cleaning! □ If infected, I give permission for a doctor to examine and treat. (additional fees apply)
Anal Glands Expression
If you have a little scooter at home, help relieve their discomfort!□ If infected, I give permission for a doctor to examine and treat. (additional fees apply)
Additional Instructions, Comments or Notes:
If you have additional instructions for your pet's stay, please list them here. If instructions are additional services, you will be charged appropriately for them.
Example: Feed Barkely separately from Fido
Your answer
Pre-Scheduled Services:
I have made arrangements with Shaggy Pines
I have made arrangements for grooming
Authorization of Non Life-Threatening Treatment:
I authorize Cascade Hospital for Animals to treat any unexpected non life threatening medical problems such as lameness, skin infections and ear infections up to $150. If we cannot complete the services under this amount, no services will be performed until we receive your approval first. *
My pet will require a doctor examination &/or insulin ($8.25 once daily, $16.50 twice daily) while boarding (separate form with owner instruction is needed for this service, and original containers for all medications and injections) *
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