Please Fill Out Only After Calling Our O

*This form is not a reservation requ

Please fill out this form and submit to our office. We will do the admit
your drop-off date. This will help expedite the check-in process.

I have already called and scheduled my reservation

Client Information
Client Name

Mr.

Prefix*
First Name*

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Address Line 1*

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City*

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Phone #*

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Best number to reach you at while your pet is boarding with us*
Email*

Emergency Contact

Please list an emergency contact in case w

Full Name*

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Phone #*

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The emergency contact listed above is authorized to:

Visit

Yes

Pick up

Yes

Make medical decisions

Yes

Does your pet have a file at our office or hospital?

Accommodations
K-9 Suites (Deluxe and Standard)

All canine suites include a minimum of 5 walks a day. Feeding for pets is per client instruct
is possible in selected deluxe suites but is not guaranteed. Suite number of pet may change

All canine suites include a minimum of 5 walks a day. Feeding for pets is per client instruct
is possible in selected deluxe suites but is not guaranteed. Suite number of pet may change

Cat Condos
Cats are housed in individual cat condos. Daily cats are offered playtime outside the condos
Feeding for pets is per client instruction.

Cage Free (K-9)

Dogs attending cage free boarding must pass the doggy day camp evaluation prior to attend
camera is not available between 10pm and 7am. Feeding for pets is per client instruction

Avian/Exotic/Pocket Pet Boarding

Cage, bedding, food, and all other supplies must be provided by client. Feeding and care is p

Dro

Type of Suite Already Reserved:

Junior, Standard, Standard Deluxe, De

Type of Suite Already Reserved:

Type of Suite Already Reserved:

Dro

Junior, Standard, Standard Deluxe, De

Dro

Junior, Standard, Standard Deluxe, De

If the option you reserved and selected above is not your first
select the preferred suite type below so that we can accommo
Type of Suite Preferred:

Junior, Standard, Standard Deluxe, De

Dates You Have Already Reserved and Confirm

Pet Name:*
Check-In Date:*
Check-Out Date:*

(Calendar option)
(Calendar option)

Pet Name:
Check-In Date:

(Calendar option)

Check-Out Date:

(Calendar option)

Pet Name:
Check-In Date:
Check-Out Date:

(Calendar option)
(Calendar option)

General Questions
Has your pet boarded with us before?*

If you pet has boarded with us before, were there any issues, concerns
for to make your pet safe and comfortable?*

Comment

Does your pet have any special care needs? Is your pet diabetic or had
(If you have more than one pet boarding with us please list all instructions in th

Comment

Are there any health conditions, temperament or safety issues (past, p

boards with us? Please be specific even if you believe we already have

Comment

While your pet is with us are there any medical concerns you would lik
procedures you would like to have scheduled while your pet is staying
testing, or vaccines. (Charges for services will be added to the overall

Comment

If your pet is due for vaccines are we authorized to administer those va

while your pet is staying with us?*
If your pet is due for a fecal test are we authorized to collect and
test a sample while your pet is staying with us?*

Medication Instructions
Will your pet need medication during their stay?*

There is an additional fee for ad

Pet Name:

Drug Name:
How much (dose):
How often:
Next Dose:
Pet Name:
Drug Name:
How much (dose):
How often:
Next Dose:
Pet Name:
Drug Name:
How much (dose):
How often:
Next Dose:
Pet Name:
Drug Name:
How much (dose):
How often:
Next Dose:

Additional Information: Please include any additional medication instru

Comment

Flea Control
Is your pet currently on flea control?*
If yes, what type and how often is it given?

We strive to maintain a flea free environment and we highly recommen

admission into our Resort. If on admission your pet is found to have fl
fee.

Vaccine/Testing Re

Vaccine/Testing Re

Pets are required to be current on the follow

Cats:

FVRCP (feline distemper) vaccine, Rabies vaccine, and a yearly negative fecal te

Dogs:

Rabies vaccine, Dhpp vaccine, Bordetella vaccine (given every 6 months), and a

If your pet has been vaccinated and/or had a fecal test at another facil
vaccination and yearly negative fecal test from a veterinary hospital.
will be done on admission to our facility at an additional fee.

Meals

We feed high quality Purina Prescription EN (for sensitive stomach) in

your own food. If you bring your own food, we request that you make
to be labeled with your name and your pet's name (if you are boarding
owner instruction. Please bring extra portions as we may need to adjus
Will you be bringing meals from home for your pet?*

If yes, please list the diet you are feeding and the feeding instructions
measurements ex. tablespoons, 8 oz. cups, etc.) below. If you have mo
instructions by pet if they require different instructions.*

Comment
Does your pet have any food allergies?*
If yes, please list the allergies and explain below.

Comment
May we entice your pet if needed to increase appetite?*
(with items like chicken, cottage cheese, canned food, etc.)
If yes, please list you pet's preferences.

Does your pet tend to finish all his/her food at home or is he/she a graz
If multiple pet are staying in the same suite, do they need to be
separated while being fed?
If yes, please explain the issues below.

Comment
What is the next meal your pet needs to be fed?*

Luggage and Personal Belongings

We provide bedding for your pet. We discourage bringing personal ite

during their stay and may be lost, misplaced, or damaged when separa
they need to be marked with your last name using permanent marker.
not accept any responsibility for lost or damaged items.
If you are choosing to send your dog with personal items, please list th
below.*

Comment

If you are not bringing personal items such as bedding and toys, is
it ok for us to provide ours for your pet? Example concerns: Please sele
if your pet tends to chew up and/or ingest certain beds, fabrics, toys, o
materials.*

Doggy Day Camp

Doggy Day Camp is a great way for your pet to play, get plenty of exer
safe and stimulating environment. We offer an enriching experience fo
supervision from our dedicated team.

Cost while boarding is $22 per day. If you are interested, please call o
Day Camp behavior evaluation prior to boarding in our Pet Resort. The
is free of charge.
Click here for the Doggy Day Camp Evaluation form, your dog has not y
http://www.conejovet.com/forms/Day_Camp_Eval.pdf

My dog has already had the doggy day camp evaluation.

I would like my dog to attend doggy day camp on the following
days: (Please list the dates)

Grooming for Dogs

Dogs boarding for five nights or more received a free "Pampered Pet B
guests staying
less than
night
includes a charge
bath and
some brush
Professional
grooming
is five
offered
atand
an additional
if appointmen
Grooming Brochure (hyperlink)
http://www.conejovet.com/pdf/Grooming_Brochure.pdf
You may also chose the no bath option, however your pet may have aq
At the end of your dog's stay which would you like?*

Best number for our groomers to reach you on grooming day if they ha
If you chose the professional groom, please give a detailed description

Comment

Additional Information

Please list any other comments or information we should know about y

Comment

Webcams

Webcams are available in selected deluxe suites and for Doggy Day Ca
viewing at http://www.conejovet.com/pet-resort/daycamp.html. The ca
available for viewing from 7am to 10pm. Occasionally the web camera
time. Also please check your firewall, browser setting, and cookies whe
The webcams may require a software download if it is your first time u
view the cameras without downloading the software.

Webcams are available in selected deluxe suites and for Doggy Day Ca
viewing at http://www.conejovet.com/pet-resort/daycamp.html. The ca
available for viewing from 7am to 10pm. Occasionally the web camera
time. Also please check your firewall, browser setting, and cookies whe
The webcams may require a software download if it is your first time u
view the cameras without downloading the software.
I understand the webcams may not always available for viewing

Additional Disclaimers and Authorizations

I understand CVVH is not responsible for missing or damaged
items left during my pets stay.*

If I opt to have my pets boarded in the same suite, CVVH is not

responsible for injury that may occur as a result of aggressive behavio
understand my pets may need to be separated to prevent further roug
stress or injury at an additional cost.*

Animal Abandonment Law: According to the statutory abandonment pr

(Sections 1834.5 and 1834.6 of the Civil Code), if an animal is not picke
within 14 days after it was due to be picked up, the animal is considere
abandoned.*

Healthcare Policy

Please be aware the stress of being away from you and in a boarding environment c
other medical issues. The health of our guests is our highest concern and we will do
emergency arise, all necessary measures will be taken to address the problem. You
situations or treatments.

I authorize CVVH to administer medical treatment as they

deem necessary for my pet's health and comfort while boarding.*
We will try to contact you but if we cannot reach you this authorizes us to start medi
treatment without waiting for your response.
Maximum dollar amount until I can be reached.*
Withhold the start of treatment if you cannot reach me.*
I DECLINE EMERGENCY TREATMENT*

I DECLINE Non-Emergency Treatment*

I am the owner or authorized agent of the above listed guests, and acc
responsibility for any additional treatments deemed necessary for the

ter Calling Our Office And Making a Reservation

reservation request, it is an information form.

ce. We will do the admitting paperwork and will call and confirm with you prio
check-in process.

led my reservation*

Mrs.

Ms.

t Box

Last Name*

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t Box

Address Line 2

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t Box

State*

t Box

Mobile #*

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Zip Code*
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rgency contact in case we are unable to get a hold of you.

t Box

Relationship to Client*

t Box

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Mobile or Alternative #*

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zed to:

tal?

Yes

No

Yes

No

Yes

No
Yes

g for pets is per client instruction. Viewing on internet cameras

uite number of pet may change during stay may change according to the pet's needs.

ed playtime outside the condos unless they prefer to stay in their suites.

camp evaluation prior to attending cage free boarding. Viewing on

pets is per client instruction.

by client. Feeding and care is per client instruction.

Drop Down Menu for list below Please*

nior, Standard, Standard Deluxe, Deluxe, Deluxe w/ Window, XL Deluxe, Cat Condo, Cage Free, Avian, Exotic, Poc

Drop Down Menu for list below Please

nior, Standard, Standard Deluxe, Deluxe, Deluxe w/ Window, XL Deluxe, Cat Condo, Cage Free, Avian, Exotic, Poc

Drop Down Menu for list below Please

nior, Standard, Standard Deluxe, Deluxe, Deluxe w/ Window, XL Deluxe, Cat Condo, Cage Free, Avian, Exotic, Poc

above is not your first choice of suite type, please

that we can accommodate your request if there is a cancellation:
Drop Down Menu for list below Please*

nior, Standard, Standard Deluxe, Deluxe, Deluxe w/ Window, XL Deluxe, Cat Condo, Cage Free, Avian, Exotic, Poc

rved and Confirmed with Our Resort

ar option)

Approximate Drop-off Time:

Approximate Pick-up Time:

ar option)

Approximate Drop-off Time:

ar option)

Approximate Pick-up Time:

ar option)

Approximate Drop-off Time:

Approximate Pick-up Time:

ar option)

ar option)

 Yes

ere any issues, concerns, or problems that we can be prepared

Comment Box

your pet diabetic or had a recent surgery/procedure?*

ase list all instructions in the box below by pet.)

Comment Box

or safety issues (past, present, or chronic) we should be aware of while your

believe we already have the information.*

Comment Box

al concerns you would like examined by our veterinarian or any

while your pet is staying with us? Examples: examination, blood work, dental,
be added to the overall invoice an estimate can be provided at your request)

Comment Box

ed to administer those vaccines

Yes

rized to collect and

s?*

Yes

y?*

Yes

re is an additional fee for administering medication

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ditional medication instructions we may need below.

Comment Box

Yes
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and we highly recommend all pets be on flea control prior to

ur pet is found to have fleas, your pet will be treated with flea control at an ad

ccine/Testing Requirements

ccine/Testing Requirements
be current on the following vaccines to board at our facility:

nd a yearly negative fecal test

iven every 6 months), and a yearly negative fecal test

ecal test at another facility you will need to bring in proof of

m a veterinary hospital. If proof is not available or vaccinations are not curren
additional fee.

or sensitive stomach) in our Resort and Hospital or you can bring

e request that you make individual bags or cans for each feeding. Bags and ca
ame (if you are boarding more than one pet). We normally try to feed accordin
as we may need to adjust their feeding amounts.
r pet?*
Yes

the feeding instructions (please list exact measurements-please use univeral

c.) below. If you have more than one pet staying with us please list the feeding
structions.*

Comment Box
Yes

ow.

Comment Box

appetite?*
ed food, etc.)

Yes

home or is he/she a grazer?*

o they need to be

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Yes

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d?*

gings

age bringing personal items. These items can become soiled

or damaged when separated from your pet for cleaning. If you choose to bring
sing permanent marker. We make every effort to return all personal items, bu
ged items.
sonal items, please list the items and give a detailed description

Comment Box

bedding and toys, is

ple concerns: Please select "no"
tain beds, fabrics, toys, or

Yes

o play, get plenty of exercise, and socialize with other dogs in a

n enriching experience for your pet in a clean and safe environment with full ti

interested, please call our office and make an appointment for

ng in our Pet Resort. There are certain pre-qualifications required. The evalua

form, your dog has not yet been evaluated by us. (hyperlink)
val.pdf

valuation.

Yes

on the following

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d a free "Pampered Pet Bath". The Pampered Pet Bath is $25 for
es
bath and
some brushing
(as our
longgroomers
as your dogs
coat is notClick
heavily
nala charge
if appointments
with
are available.
herematted).
to see

hure.pdf
er your pet may have aquired general boarding odors when you pick up.
Drop Down Menu for list below Please
like?*
No Bath, Pampered Pet Bath, Professional Groom

grooming day if they have any questions

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ve a detailed description of the haircut and style you would like.

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we should know about your pet below. Examples: temperment, behavioral, sa

Comment Box

es and for Doggy Day Camp. The webcams are available for
rt/daycamp.html. The cameras for Doggy Day Camp are
sionally the web camera system may malfunction so viewing is not guaranteed
setting, and cookies when trying to view to ensure that all the settings are co
d if it is your first time using the webcams on your devices, you may not be ab
ftware.

ays available for viewing.*

Client Initials:

uthorizations

ng or damaged

Client Initials:

uite, CVVH is not

ult of aggressive behavior. I
d to prevent further rough play,

Client Initials:

atutory abandonment provisions

, if an animal is not picked up
p, the animal is considered to be

Client Initials:

in a boarding environment can make your pet more susceptible to upper respiratory infectio
ghest concern and we will do everything possible to maintain that health. Should a life-threa
to address the problem. You will be contacted as soon as possible in regards to any emergen

ey
boarding.*
is authorizes us to start medically needed

.*

reach me.*

Yes

No

Client Initials:
Yes

No

Yes

No

 Yes

No

ve listed guests, and accept full financial

eemed necessary for the health and wellbeing of my pets.*

a Reservation

ion form.

and confirm with you prior to

Miss
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you.
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No
No
No

o the pet's needs.

No

s.

Please*

ondo, Cage Free, Avian, Exotic, Pocket Pet

Please

ondo, Cage Free, Avian, Exotic, Pocket Pet

Please

ondo, Cage Free, Avian, Exotic, Pocket Pet

ase
e is a cancellation:

Please*

ondo, Cage Free, Avian, Exotic, Pocket Pet

rt
Hour: Minute- AM/PM
Hour: Minute- AM/PM

Hour: Minute- AM/PM

Hour: Minute- AM/PM

Hour: Minute- AM/PM

Hour: Minute- AM/PM

 No

prepared

d be aware of while your pet

an or any
ion, blood work, dental, fecal
rovided at your request)*

No
No

No

 No

prior to
with flea control at an additional

facility:

roof of
ccinations are not current, they

ou can bring
ach feeding. Bags and cans need
mally try to feed according to
No

ents-please use univeral

us please list the feeding

No

No

Text Box
No

soiled
g. If you choose to bring items,
urn all personal items, but we do

description

No

dogs in a
e environment with full time

tment for
ons required. The evaluation day

perlink)

 No

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is $25 for
at
is notClick
heavily
ilable.
herematted).
to see our

when you pick up.

or list below Please

Bath, Professional Groom

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would like.

mperment, behavioral, safety conc

ble for
re
iewing is not guaranteed all the
hat all the settings are correct.
vices, you may not be able to

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e to upper respiratory infections and

hat health. Should a life-threatening
ble in regards to any emergency

Client Initials:

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Client Initials:

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Client Initials:

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Client Initials:

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I agree
Client
Initials:

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