Lodging Check-In Form Step 1 of 250%Pet's Name*Client's Name* First Last Lodging Dates:*Drop Off TimeMorningEveningPick Up TimeMorningEveningRoomNot sureCourtyard Standard $29Courtyard Run $31Caribbean Suite $46Log Cabin Suite $46European Suite $49City Lights Suite $51Please fill out the following information for the pet listed above. If multiple pets are staying with us, please fill out a separate form for each pet.Emergency Contact InformationPhone*Name* First Last PhoneName First Last Feeding InstructionsType of food (select one):*In-house Hill’s FoodMy Own FoodFeed my pet (select one):*Once a day (AM or PM)Twice a dayThree times a dayAmount of Food Given (Please specify dry or canned)*Last time he/she will eat on day of check-in:*If your pet is not eating, may we entice them? (Parmesan cheese, canned food, etc.)* Yes NoMedication Instructions ($5.00 per day for any lodger on medication)Is your pet on medication?* Yes NoLast time he/she has medications:Medication NameInstructionsMedication NameInstructionsMedication NameInstructionsAdditional Medications:If your pet is diabetic and on insulin, there is an $11.00 per day charge (in lieu of any other medication charges). This fee covers insulin administration, hazardous waste disposal fees, and monitoring.Medical Illness PolicyShould your pet become ill or need medical attention, we will call the emergency numbers listed above regarding your pet’s symptoms, treatment options, and estimate of costs. If we find no one can be reached and your pet(s) require(s) treatment to relieve immediate discomfort or to resolve an important medical or surgical condition, we will act based on your wishes indicated.*Please perform whatever services the doctor deems necessary for the best care of my pet until someone can be reached. This includes only non-elective treatments and necessary diagnostics.I authorize up to $100/200/other in medical care for my pet(s) until someone can be reached.Do not administer any medical treatment until specific authorization is given. I understand my pet will NOT be treated.Please indicate the amount:Lodging Pet's Personal BelongingsWhile we do our best to return items left with your pet at the time of check-out, occasionally items can be misplaced or damaged. We cannot accept responsibility for items that may be lost or damaged while your pet is lodging. If you would still like to leave any personal belongings, please provide us with a list below:Health QuestionsDoes your pet have any medical conditions we should be aware of?Has your pet shown any signs of illness or experienced any symptoms in the last 10 days? (Coughing, sneezing, diarrhea, vomiting, etc.)*Is there other pertinent information we should know about your pet? (Afraid of thunderstorms, separation anxiety, dog aggressive)Lodging Stay EnrichmentsAn additional page was provided for you with the additional lodging services we can provide for your pet during their stay. All dogs will receive 4 walks per day and cats receive time in the kitty park and a coat brushing (provided your cat permits). We will provide your pet with any additional services you choose. If your pet does not enjoy the activities selected, we may provide alternative enrichments at our discretion.Starting Value: Activity Package OptionsActivity Package of 3 $18Activity Package of 7 $357 Day Pass (18 activities) $85Enrichment Options Play Time (10 minutes) Snuggle Time (10 minutes) Extra Walk Time (10 minutes) Bedtime Story (10 minutes) Pet Postcard to your E-mail AddressHow many of each activity?Would you like your pet to participate in our play partners program in which they would be evaluated and may or may not be approved to play with other dogs?NoYes (The cost of the Play Partner Package is $32 and includes the three-step evaluation and at least 3 playtimes. I understand I will be e-mailed additional paperwork and consent forms.)Would you like your pet (dogs only) to have any treat Kongs while staying with us?Starting Value: Kong OptionsOne Kong – Peanut Butter $7.00One Kong – Seasonal Flavor $7.00Two Kongs – Peanut Butter $13.00Two Kongs – Seasonal Flavor $13.00Three Kongs – Peanut Butter $18.00Three Kongs – Seasonal Flavor $18.00Spa ServicesWould you like your pet to receive any spa services while lodging with us? (An appointment with one of our groomers must be scheduled by calling the main clinic telephone number.)YesNoCheck Boxes for each of the following options: Spa Package (Dogs only, includes bath, nail trim, and blow dry) $38-$43 Bath (dogs only) $28-$33 Nail Trim (Cats $12; Dogs $20) Teethbrushing $6 per brushingAuthorization for Release of Pet to a Person Other Than OwnerIf someone other than the owner will be picking up a pet from boarding, please let us know at time of check-in. We will not release pet to anyone other than the owner without prior authorization. Payment for lodging is still required at time of pick up.Person's Name First Last PhoneMay we take photos/videos of your pet and share them on social media?*YesYes, but not my pet’s first nameNoAbandoned Animals ProtocolNo pet shall be released until all charges are paid in full. The pet owner agrees to notify NVC Pet Resort staff in advance if there is any change in the departure date and time. Any pet left unclaimed for (7) days from the scheduled checkout date shall become the property of NVC. Fees incurred for the care of unclaimed pets will be turned over to collections. The pet owner or his agent agrees to pay reasonable legal fees and costs incurred by NVC in the collection of outstanding bills. The owner or his agent also agrees to pay for any site damages beyond normal wear and tear incurred by his pet(s).Healthy EnvironmentIn order to maintain a healthy and “flea free environment”, your pet will be checked for fleas upon admission. If fleas are present, your pet will be treated with flea medication (at the Doctor’s discretion) at your expense. All lodging guests are required to be current on required vaccinations and a fecal analysis.Neffsville Veterinary Clinic (NVC) agrees to exercise due and reasonable care and to keep the premises sanitary and properly enclosed. Pet(s) will be fed, watered regularly, and housed in safe, clean quarters. The NVC Pet Resort is staffed with attendants from 6am to 9pm. We do not have an attendant overnight.The services provided are done so without liability for loss or damage from disease, death, running away, theft, fire, and from injury or damage done by animals to people, other animals (including bites, scrapes, lacerations, or puncture wounds), property, or other unavoidable circumstances. Diligence and care have been exercised in preparing a safe facility for pets. The undersigned releases NVC, its owners, and employees from all risks and damages which may occur during lodging. Employees reserve the right to separate or move above pet(s) to another area of the facility should they deem it necessary, and this may incur additional charges. Neffsville Veterinary Clinic will not be held responsible for any lost, damaged, or soiled items.Check-in / Check-out Times Monday-Friday: 8am-11am or 4pm-7pm Saturday: 8:30am-11am or 3pm-5pm Sunday: 10am-2pm or 3pm-5pm Outside of these times we are caring for our lodging guests and appreciate your cooperation.I have reviewed and concur with all check-in information. I agree to pay for the above selected services and nightly lodging.Signature*Please provide your full name.Date*
