CANINE CLIENT INSTRUCTION RECORD
Arrival Date:
TODAYS DATE: _______
Departure Date:
Client ID:
For AL Use
Patient ID:
Clients Name:
Pet’s Name:
Address:
Species:
For AL Use Weight: lbs
Breed:
Telephone:
Sex:
Emergency T:
PICK UP TIME: _
Color:
When was your pet last fed? _________ - Time
Does your pet have any food allergies: YES _____
NO _____
If Yes: (Please List) ___________________
BREAKFAST- PLEASE FEED: (Please List Quantity)
Animal Lodge serves (Science Diet Adult) between 5AM - 6AM:
NOON PLEASE FEED:(Please List Quantity)
Animal Lodge serves (Science Diet Adult) between 12PM - 1PM:
DINNER PLEASE FEED:(Please List Quantity)
Animal Lodge serves (Science Diet Adult) between 5PM - 6:30PM :
OTHER:(Please List Quantity)
Animal Lodge serves (Science Diet Adult) :
Does your pet have a history of chewing on bedding, towels, plastics etc:
If Yes: (Please List) _______________________________________________ PET’S NAME:
SPA OPTIONS
EXERCISE OPTIONS
Are we permitted to bathe your pet?
DAYCARE
Yes___ No___
As a part of your stay your pet will enjoy 1 hour
complimentary Daycare. The following are our special
After the 5th night with us your pet gets a FREE bath
Daycare and Swimming Rates for our boarders
- Please select one:
Bath $20 (Per Pet) _____
Date: __________
____ Full Day $15 _____ (Please enter # of Days)
____ Half Day $10 _____ (Please enter # of Days)
Extra Play Time per hour $5 _____ (Please enter # of hrs/day)
_____ (Please enter # of days)
Nail Trim $12.50 (Per Pet) _____
Date:___________
1on1 Play Time 30 Mins with your pet $15 ___ (per pet)
-
Complimentary 1 Hour Play: Yes ____ No____
NO DAYCARE - NO GROUP_______
!SWIMMING!
Group Swim for 30 Minutes with up to 5 other Pets $10 _____
1 on 1 swim for 30 minutes $30(Per Pet) _____
Client Signature: _______________________________
TODAYS DATE: __________
Emp Initials: _______