The Pet Information Form must be completed, for your convenience, you may print the Pet Information Form and bring it with you.

Name:   Home Phone:

Street:   Cell Phone:

City:   State:  Zip Code:   

Emergency Contact:

Emergency Number:

Email:    Website:

Requested Dates of Stay:

Estimated Time of Arrival:

Expected Pick-up Time:

If you have multiple pets, would you like them to stay in the same room?  (Pets must be able to cohabitate peacefully).  - Select - YES NO Not Applicable

If NO, Please Explain:

Pet Profile

1. Pets Name: Age/DOB:

Weight:   Color:   Gender: - Select - Male Female M - Neutered F - Spayed

Breed:

Name of Current Pet Food: 

Does your pet chew bedding? - Select - YES NO

Does your pet have any allergies?  - Select - YES NO

Describe: 

Is your pet currently taking Medication?  - Select - YES NO

Medication 1:

Morning Afternoon   Evening   Quantity:

Medication 2:

Morning Afternoon   Evening   Quantity:

For unspayed females only. Date of last heat:
(Females in heat are not accepted for boarding as it severely disrupts our daily schedule). Females that come into heat while boarding will be subject to a $30 daily surcharge.

2. Pet's Name: Age/DOB:

Weight:   Color:   Gender: - Select - Male Female M - Neutered F - Spayed

Breed:

Name of Current Pet Food: 

Does your pet chew bedding? - Select - YES NO

Does your pet have any allergies?  - Select - YES NO

Describe: 

Is your pet currently taking Medication?  - Select - YES NO

Medication 1:

Morning Afternoon   Evening   Quantity:

Medication 2:

Morning Afternoon   Evening   Quantity:

For unspayed females only. Date of last heat:
(Females in heat are not accepted for boarding as it severely disrupts our daily schedule). Females that come into heat while boarding will be subject to a $30 daily surcharge.

A wide variety of Optional Resort Amenities are available to compliment your pet's stay. Our staff will help you select a custom vacation package that suits your pet's needs and personality.

Vaccination Records

In the interest of keeping all of our boarding pets safe we require that all pets be current on required vaccinations. Contact us for a copy of our vaccination requirements to take to your veterinarian. 

Ideally, all vaccinations should be administered 2 to 3 weeks prior to lodging. Special arrangements are required for pets who have been vaccinated within 7 days prior to checking in. Accommodations are limited, contact us at 570-864-3189. Titer tests or proof of vaccinations must be presented for admission.

Veterinarian:   Phone:

How did you hear about us?  Please select all that apply.

Website  Yellow Book  EZ to Read  Newspaper
Flyer  Email  Billboard  Special Event  Other

Referral Name: 

Other Name: 

Is this a first time boarding experience for your pet?  - Select - YES NO

If not, what was the date of the last boarding? 

Describe your pet's experience.

 

About Your Pet's Personality

How long have you had your pet?

Pet 1 (Name & Time): 

Pet 2 (Name & Time): 

How did you acquire your pet?

Pet 1 (Name & Time): 

Pet 2 (Name & Time): 

How would you describe your pets temperament? 

Friendly  Shy/Timid  Restrained Aggressive  Aggressive

If you selected Shy/Timid, Restrained Aggressive or Aggressive, tell us why.

Pet 1 (Name & Info): 

Pet 2 (Name & Info): 

Has your dog(s) ever bitten a person?  Describe the situation.

Pet 1 (Name & Info): 

Pet 2 (Name & Info): 

Has your dog ever fought with another dog?  Describe the situation.

Pet 1 (Name & Info): 

Pet 2 (Name & Info): 

Can you take a toy or a food item from your dog?

Pet 1 (Name & Info): 

Pet 2 (Name & Info): 

Does your dog normally use a crate? - Select - YES NO   When?

Pet 1 (Name & Info): 

Pet 2 (Name & Info): 

Has your dog ever jumped a fence or escaped from containment?  Describe the situation.

Pet 1 (Name & Info): 

Pet 2 (Name & Info): 

Is there any area that your pet does not like to be touched?

Pet 1 (Name & Info): 

Pet 2 (Name & Info): 

Is there any more Information you care to provide?

 

For your information, We do not accept credit cards.
Payment must be made good by good local check or cash.

Please Note: When reserving space and boarding your pet with us you must agree to notify us 72 hours in advance of change in your plans.