Overnight Boarding Form

SECTION I. GENERAL INFORMATION
Pet Parent First & Last Name*
E-mail Address*
Telephone Number*
Check in Date*

MonthDayYear
Date
Street Address*
Checkout Date*

MonthDayYear
Date
City
Zip
Pick up time:*

AM 7-10aMidday 11a-3pPM 4p-CloseUnsure
Pet 1*
Pet 2
Pet 3
Pet 4
Choose if you want pictures of your pet posted on Facebook and Instagram:

FacebookInstagramBoth
I understand Alta Vista Boarding and Grooming requires a deposit (boarding cost in full) for first time clients and 50% deposit for any pet stay longer than 2 weeks (including pre-existing clients):*
Alta Vista Boarding & Grooming now closes at 12p on Sundays.*
I understand Alta Vista Boarding & Grooming closes to the public on all major holidays. *
New Years Day 1/1, Easter Sunday, Memorial Day, Independence Day 7/4, Labor Day, Thanksgiving Day, Christmas Day 12/25.
Do any of the following apply to your pet:*

10 years or older (dogs only)Difficulty walkingMore than 4 medications per dayNeeds constant monitoring (i.e., prone to seizures)Diabetic (requires insulin)AllergiesInjury, illness, or surgery in the past 14 daysVision issuesMedical conditionsNone of these apply to my petOther
PLEASE NOTE: IF ONE OR MORE OF THESE APPLY TO YOUR PET, IT IS LIKELY THAT THEY WILL NOT BE ABLE TO BOARD WITH US. We provide basic care, specialized care can be given at Alta Vista Veterinary Hospital.
SECTION II. DOG BOARDING (Skip this section if you are not boarding a dog)
Please choose one:*
If your pets board in the same space, each additional pet will receive a 20% discount. Please select one if boarding multiple pets:*
A flea and tick preventative is required. Do you administer a form of prevention for your dog? *
TREATS & ACTIVITIES

(listed prices are for adding a la carte, disregard if choosing package)
Activities: Play ($20 per day)

Dog Playgroup (supervised play with other dogs)One-on-One (30-minute play with a staff member)
Treats (do not have to select if included with desired boarding package):

Peanut Butter Kong, $5I brought my own treats
SECTION III. CAT/EXOTIC BOARDING (Skip this section if you are not boarding a cat)

**Please note: the cost is per night, per cat.
Please choose one:
Treats & Activities:
SECTION IV. INSTRUCTIONS
Food Type (We offer our guests Science Diet dry food):*

Science DietI brought food
Feeding Amount (Select One):*

Cat, free feedSmall Dog, ¾ c twice dailyMedium Dog, 1c twice dailyLarge Dog, 1½c twice dailyExtra Large, 2c twice daily
Feeding Instructions:
Medications, $3 per administration:

My pet needs medicationMy pet received a dose prior to coming
Please list the medications you are leaving for your pet:
Please provide instructions for administering medications:
What personal items are you leaving?
(We have bedding, blankets, and bowls at our facility. Please do not leave items you do not want lost or damaged. We are not responsible for lost or damaged items.)
Miscellaneous:
GROOMING & BATHING
Exit baths are $25 for small/medium, $30 for large, $35 extra-large. Toenail trims are $20, Nail Grinding is $27, and grooming prices vary. Exit Baths are included with the Plus, VIP, Jr. Suite, & Suite packages. (disregard if included with your boarding package):

Exit Bath (not an option for cats)Toenail Trim ($20)Nail Grinding ($27)Professional Groom (must call in advance to schedule)
Grooming Instructions:
Emergency Directives
Emergency Contact (optional):
Has your pet had any injury, illness, or procedures in the last 30 days, please explain:*
Do you want us to contact you prior to administering care if your pet becomes ill?*
Do you authorize us to administer the necessary care if your pet becomes ill and we cannot reach you?*
I am the pet parent or an authorized agent of the animal described herein and authorize Alta Vista Boarding & Grooming to provide services as necessary to preserve the pet"s life and well-being including appropriate general, parenteral or oral anesthesia. I understand that Alta Vista Boarding & Grooming, LLC and its staff will do its best to maintain a disease free environment and require all boarders to be current on the aforementioned vaccinations. However, it is not possible to vaccinate against all diseases and no vaccination can guarantee 100% effectiveness. I absolve and release Alta Vista Boarding & Grooming from any loss, expense or liability arising from your pets stay. I understand Alta Vista Boarding & Grooming is closed and not professionally staffed outside regular business hours. I accept all financial responsibility for all services and treatments and understand my balance must be paid in full prior to the release of my pet. I also acknowledge and accept Alta Vista will treat any medical condition it believes causes your pet pain or presents a health risk, which includes intestinal upsets.
Signature*
Should be Empty: