Boarding Form
Owner Information
Name
Address
City
State & Zip
Phone
E-Mail
Pet Information
Pet #1
Pet #2
Pet #3
Pet #4
Name
*If you are a previous client, please skip to Boarding Information*
Breed
Sex
M
F
M
F
M
F
M
F
Spayed / Neutered?
Yes
No
Yes
No
Yes
No
Yes
No
Date of Birth
Color
Weight
*exact boarding rate determined by weight upon check in*
Boarding Information
When your pet will join us:
January
February
March
April
May
June
July
August
September
October
November
December
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
AM
PM
When you will pick up your pet:
January
February
March
April
May
June
July
August
September
October
November
December
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
AM
PM
Grooming?
Yes
No
Date Grooming Requested:
January
February
March
April
May
June
July
August
September
October
November
December
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
If more than one pet is boarding...
Together
Separate
For Cats...
Window
Standard
Other special arrangements?
Special Instructions:
* Indicate which pet the special instructions are regarding
* Consult Hotel Policy and Charges for information regarding additional fees
Additional Exercise (times / day):
Special Feeding Instructions / Food:
Medications / Treatments:
Veterinary Services Requested:
CANYON HILLS ANIMAL CLINIC WILL CONFIRM YOUR RESERVATION VIA EMAIL.
