First Name Last Name Email * Required Name of Pet(s) Check-In Date - must be mm/dd/yyyy format MM slash DD slash YYYY Check-Out Date - must be mm/dd/yyyy format MM slash DD slash YYYY Can your pet(s) participate in doggie daycare? * Required Yes No Restricted to House Mate Would you like for your pet(s) to have any of the following services during their stay (for additional charges based on size)? * Required Pampered Bath Grooming None Of The Above FEEDING: Will you bring food for your pet(s) or would you like for Pet Palace to provide meals while boarding for an additional $4 per meal? * Required Bring Provide Cups of Food Numer of Meals per Day MEDICATIONS: Please list any medication your pet will take while in our care.Name of Medicine Frequency What Time(s)? List any medication your pet will take while in our care. Name of Additional Medicine Frequency What Time(s)? Please indicate which Room Option you would prefer: * Required Canine Economy Canine Standard Canine Elite Canine Premium Canine Executive Feline Suite We require proof of current vaccinations from a licensed veterinarian prior to Check In. Your pet’s health and happiness is our primary concern. If at any time our staff notices a medical problem, we will make every effort to contact you or your Responsible Party. Should we be unable to reach you or your Responsible Party, we will adhere to the Emergency Consent to Treat form we have on file. WE DO NOT OFFER REFUNDS. By signing below, you agree to pay for services rendered at time of Check Out, including but not limited to any fees associated with late pick up or additional medical services in the event of an emergency. Further, you acknowledge that Pet Palace Hotels is not liable for any lost or damaged personal items that are left with your pet.List of Belongings Emergency Contact First Name Emergency Contact Last Name Emergency Contact PhoneYour PhoneToday's Date - must be mm/dd/yyyy format * Required MM slash DD slash YYYY
