ANCHOR'S ARK PET RESORT BOARDING INTAKE & CONSENT FORM

First Name *

Last Name *

Email *

Phone *

Boarding Start Date *

Requested Drop Off Appointment Time (Include AM or PM) *

Boarding End Date *

Requested Pick up Appointment Time (Include AM or PM) *

Address *

City *

State *

Postal code *

Emergency Contacts: (Please list names, and phone number of two emergency contacts and anyone who may be dropping off or picking up your Pet) *

PET INFORMATION

Pet's Name *

Pet's Birthday *

Pet Weight *

What type of Pet? (Dog,Cat,Rabbit) *

Pet Breed *

Pet's Color *

Pet Gender *

Male

Female

Pet Description *

Please upload a picture of your pet. Should you have problems doing so, feel free to email it to [email protected]. Please include your full name, as well as the full name of your pet in the email.

Pet Image

Is the pet microchipped? *

Yes

Is Your Pet Neutered or Spayed? *

Feeding Instructions: *

Does your pet have any dietary restrictions or food allergies? If yes, please provide further details?

Does your pet have any current or past medical conditions? *

Does your pet currently take any medications? If yes, please list the name of the medication(s), description, time and frequency it should be taken, as well as the dosage? *

Is your pet up to date on vaccinations? *

Yes

Please upload a copy of your pet's shot record. If you have problems doing so, please email it to [email protected]. Please include your full name, as well as the full name of your pet in the email.

Has your pet had any previous sugeries? If yes, please list the surgeries and dates that the surgery occured. *

Does your pet play well with other animals? If no, please provide details. *

Is your pet aggressive? If yes, please provide details. *

Does your pet have any behavior triggers? (i.e. easily startled, doesn't like loud noises, etc.) If so, please describe. *

Are there any details that we should be aware of regarding the sleeping patterns of your pet? If so, please describe. *

Is there any other information that we should know about your pet to help make their stay comfortable?

PRICING & PACKAGES

DOG BOARDING. Included Services: Private cabin with patio. Playtime and cuddles included for FREE. Nightly rates are based on a 24 hour time period from drop-off to pick-up. Extended care rates may apply for each pet on the booking if the end time on the final day of the stay is more than 2 hours later than the start time on the first day. 2-7.5 hours = +50% nightly rate. 8+ hours = +100% nightly rate.

Dog Boarding - $40 per night standard rate

Dog Boarding - $49 per night holiday/peak rate

Medicine, Treatments -$3 each per day

Cat and Rabbit Care - $25 per night standard rate

Cat and Rabbit Care - $30 per night holiday/peak rate

WAIVER & CONSENT

I certify that I am the owner of this pet.

I assure Anchor's Ark Pet Resort that the health information for this pet listed within the document is accurate and true, and no vital health information has been omitted.

I confirm that my pet has a complete and updated vaccination.

I confirm that my pet doesn't have any flea or any communicable disease.

I release Anchor's Ark Pet Resort, its employees, and owners from any liabilities including, but not limited to, injury, sickness, damage, accident, or death while in the vicinity.

- If I'm unable to pick up my pet on time, I will notify Anchor's Ark Pet Resort.

- Additional charges may apply.

- I understand that my reservation is not confirmed until I receive an official confirmation email from Anchor's Ark Pet Resort.

- I grant permission to Anchor's Ark Pet Resort and its staff to obtain on my behalf and in my pets' best interest the veterinary care necessary to treat illness or injury.

- I agree to pay all veterinary and other necessary services incurred by and for my pet during its stay at Anchor's Ark Pet Resort.

- I agree to pay all charges the day I pick up my pet and I understand that my pet may not leave the premises until all charges are paid in full.

- I understand that any animal left for 48 hours, beyond the estimated date of pick up, will be considered abandoned. Anchor's Ark Pet Resort will then gain ownership of the pet with full rights and responsibilities, to make decisions that are in the best interst of the pet.

I confirm that all information I entered in this form is true and accurate.

By clicking this box and submitting the form, I am agreeing to the terms above. I Also Consent to Receive SMS Notifications, Alerts & Occasional Marketing Communication from Anchor's Ark Pet Resort. Message frequency varies. Message & data rates may apply. Text (346) 748-9936 for assistance. You can reply STOP to unsubscribe at any time.