Boarding Reservations (new clients) Effective Oct. 8, 2015 there will be a 2.5% surcharge on all credit card transactions. If you have more than one dog, you will need to submit the form for each dog. My Dog is a (Please check one) VIP Loves to play with doggie friends and is comfortable in a large group environment. This package includes morning and even playtime in our community play yards! Check if: My dog is new and needs a friendly introduction Top Dog For the pet who is not comfortable with other dogs or playing in large groups, this package includes individual playtime in a quiet yard, and a morning Nature Walk! Cost: $32/night $18/night 2nd dog (if dog stays in the same suite) $2/night – cash discount DROP OFF & PICK UP Please Note: It is very important that you adhere to your drop off and pick up times so we can ensure clean and disinfected accommodations for all our fur friends. DROP OFF Date: Time ---9:00 am9:30 am10:00 am10:30 am11:00 am11:30 am12:00 pm6:00 pm6:30 pm7:00 pm PICK UP Date: Time ---9:00 am9:30 am10:00 am10:30 am11:00 am11:30 am12:00 pm6:00 pm6:30 pm7:00 pm Please note: After 12 noon pick up is an additional day's charge. The office is closed for drop off and pick up on the following Holidays: New Year's Day, Memorial Day, 4th of July, Labor Day, Thanksgiving Day and Christmas Day. Don't forget about our doggie shuttle! I would like to drop my dog off at the North facility for transport to the C<ountry Club. ($10)I would like my dog transported from the Country Club to the North facility for pick up. ($10) Please note: in the event of inclement weather and area schools are closed, the shuttle will not be running and you should plan on dropping your fur friend off at the South location during the office hours of 9am-noon or 6-7 pm. HOLIDAY RESERVATION AND CANCELLATION POLICY Holidays: Please make your holiday plans carefully as there are no refunds on holiday reservations which includes the weekend before and/or after the following holidays Christmas/New Years, Spring Break, Memorial Day, 4th of July, Labor Day and/or Thanksgiving. We require a secure credit card number on file for all holiday reservations. Once you receive confirmation, the reservation is made and you will be accountable whether you've given your credit card information or not. You risk losing your spot if we do not have credit card information on file. Your credit card will not be charged unless you cancel your reservation and your dog's spot can not be filled. Cancellation Policy: All changes/cancellations must be done 72 hours prior to drop off day and time for all non-holiday reservations or you will be charged if we can not fill your spot. I understand and agree to this policy CLIENT INFORMATION Name Address City State Zip Email Home Phone Cell Phone Emergency Information Person who can make decisions for your dog if we can not reach you Phone How were you referred to us? Who can we thank with our Ruffer-A-Friend coupon for sending you our way? PET INFORMATION Dog's Name Breed Color Dog's Gender ---MaleFemale Spayed or Neutered? ---SpayedNeuteredNone Date of Birth Veterinarian Phone Vaccinations have been faxed by the Veterinarian ---YesNo They must be faxed to 269 857-8379 Food Feeding Time ---MorningEveningBoth Feed Amount Cups per feedings Feeding Instructions Treats Will you be bringing your own treats ---YesNo Treat Instructions Note: We will not give your dog any food/treats that you do not bring along Does your dog require medication? ---NoYes Name of Medication Administer: ---MorningEveningBoth How much? Name of Medication Administer: ---MorningEveningBoth How much? Name of Medication Administer: ---MorningEveningBoth How much? Medication Instructions How would you like us to administer your dog's medication? You may pill my dog (place pill on the back of the dog's tongue)I will bring a treat to put medication inI would like to buy some pill pockets (50 cents each or 5/$2.00) Other Note: We will be taking the medication out of it's original container and putting it in special pill boxes so please do not bring any more than needed for this stay. Also, please do not put any medication in the dog's food. Customize your fur kid's stay with our A La Carte options or save with our Activity Packages Pricing is addition to basic boarding price of $32/day. Add a la cartes to your dog's stay by selecting the check box AND the Quantity. Click here for a la carte details. Cuddle and Hugs $4/ea (second dog in the same suite is free!) QTY: Brush and Hugs $4/ea QTY: Nature Walks $6/ea QTY: Enrichment $6/ea QTY: Doggie Day Care $12/day QTY: Heated Floors $2/night (second dog in the same suite is free!) QTY: Carpet included in package (second dog in the same suite is free!) QTY: Chewing is an instinctual stress reliever for your dog! How about adding one of our safe, never made in China chew bones to your dog's stay?? Dental Bone Large $3.50 QTY: Dental Bone Small $2.50 QTY: Natural Bone 7 inch $6.50 QTY: Activity PackagesAdd more fun and save! Price is $10 per day in addition to your boarding rate. Click here for Activity Package details. Puppy Love QTY: Senior Center QTY: Brush N Hugs QTY: Zen Den QTY: Would you like your dog groomed? Would you like your dog groomed? If Yes, Select One: ---Exit BathSpaSpa PlusNail Trim Only Exit Bath Includes: Bubble bath and towel dry. $8-20. Spa Includes: Bubble bath, detangle, ear wash, hand blow dry, style and nail trim/file Spa Plus Includes: All of the above plus cut/trim/neaten. Prices vary and will be included in your estimate. Special Grooming Instructions Other Options Add these services to a Spa or Spa Plus and save! Tooth Brush $5De-Shed $10 If you are boarding more than one dog, please choose if you would like them separate or together in the same suite. ---SeperateTogether All suites come with a cot, but we highly recommend bringing your dog's own bedding. It's comforting to your dog to have something familiar from home plus it cuts down on the spread of illnesses. We will provide bedding at no charge if you choose. Will bring ownProvide Bedding DOG PROFILE Dog's Name Breed Is your dog taking heartworm preventative? ---YesNo Does your dog have any preexisting or current medical conditions? ---YesNo If yes please describe. Does your dog have any food allergies? ---YesNo If yes please describe. Does your dog have any sensitive areas to his or her body? ---YesNo If yes, please describe. Please check the boxes that best describe your dog's temperament. (Check all that apply.) CalmPlayfulExcitableShyDominantAggressive Other: Does your dog have fears or phobias? ---YesNo If yes, please describe. Has your dog ever bitten another dog? ---YesNo If yes, please describe the situation. Has your dog ever bitten a person? ---YesNo If yes, please describe the situation. How does your dog behave around the following? Children PoorFairGoodExcellent Men PoorFairGoodExcellent Women PoorFairGoodExcellent Male Dogs PoorFairGoodExcellent Female Dogs PoorFairGoodExcellent Puppies/Small Dogs PoorFairGoodExcellent Does your dog do any guarding of food or toys? ---YesNo If yes, please describe Has your dog ever jumped or climbed over a fence or gate? ---YesNo If yes, please describe Does your dog dig? ---YesNo Is your dog crate trained? ---YesNo What are your dog's favorite activities? Is there anything your dog should not have? (Certain toys, food, etc?) ---YesNo Anything else you would like us to know about your fur friend? COMMENTS OR SPECIFIC INSTRUCTIONS Please Note: You will receive email confirmation of this reservation once it is made. If you do not receive confirmation, please check your Spam Folder. Please call us if you do not receive confirmation and we recommend adding Dogs Bay's email to your not spam list. I, the undersigned owner, understand that in case of an emergency, DBCC staff reserves the right to take my dog to the veterinarian of their choice, should my dog require medical attention. Check here if you understand this agreement.