New Clients

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Customer First & Last Name *

First

Last

Spouse/Partner First & Last Name *

First

Last

Address *

Line 1

Line 2

City

State

Zip Code

Country

Home Phone Number *

Cell Phone Number *

Spouse/Partner Phone Number *

Cell Phone Provider *

Work Phone Number *

Email *

Emergency Contact Name & Phone Number *

How did you hear about us? (Google, Website, Facebook, Friend, etc.) *

Veterinarian Name & Telephone Number *

1st Pet Name *

Dog/Cat *

Breed & Color *

Age & Weight *

Gender (male/female) *

Spayed/Neutered *

1st Pet Overall Health/Medications & Last Veterinarian Appointment *

2nd Pet Name *

Dog/Cat *

Breed & Color *

Age & Weight *

Gender (Male/Female *

Spayed/Neutered *

2nd Pet Overall Health/Medications & Last Veterinarian Appointment *

3rd Pet Name *

Dog/Cat *

Breed & Color *

Age & Weight *

Gender (Male/Female) *

Spayed/Neutered *

3rd Pet overall health, medications & last veterinarian appointment *

Have your pets attended Daycare or been boarded before? (Yes/No) *

Is your Pet potty trained FOR OUTSIDE, A PEE PAD OR NOT AT ALL? *

Is your pet friendly with dogs and people? (Yes/No) *

Does your Pet have play days with other dogs? (Yes/No) *

Does your Pet play rough with dogs and/or people? (Yes/No) *

Does your Pet show aggression behind fences or barriers? (Yes/No) *

Is your pet people, food or toy possessive? (yes/no) *

Has your pet been in a dog fight? (yes/no) *

Is your Dog and excessive barker? (yes/no) *

Can you take toys, food and bones away from your pet? (yes/no) *

Will your pet escape, run away, jump up, leash puller, eat rocks, etc. (yes/no) If yes, please explain. *

Does your pet show aggression toward people or other animals? (yes/no) *

Has your pet bitten another animal or person? (yes/no) *

Can or does your pet climb or jump a 5 or 6 foot fence? (yes/no) *

Does your dog dig or dig out of fenced in areas? (yes/no) *

Is your pet shy or fearful of people or new environments? (yes/no) *

Does your pet have severe seperation anxiety? (yes/no) If so, explain. *

Does your pet chew anything other than their toys? (yes/no) If yes, explain. *

Does your pet get groomed/toe nails clipped at a veterinary office? (yes/no) *

Does your pet get severe anxiety from thunderstorms or fireworks? (yes/no) *

Was your dog crate trained as a puppy? (yes/no) *

If you have two or more dogs, may they be boarded together? (yes/no) *

Has your pet been able to have the run of the house unattended? (yes/no) *

Do you crate your dog when you're not home due to pet behavior? (yes/no) *

May your dogs eat together or do they need to be seperated in a different area? (yes/no) *

Is your pet on monthly flea & tick and heartworm prevention? (yes/no) If yes, what kind? *

Have you had parvo on your premises in the past year? (yes/no) If yes, when? *

Comments: Tell us anything we need to know about your pets so they will have the best boarding, daycare or grooming experience. *

Kottage Kennels & Suites, Inc.
TERMS and CONDITIONS
This is an Agreement between Kottage Kennels & Suites, Inc. and the pet(s) Owner whose signature appears below hereinafter called "Owner ". This Agreement contains the entire agreement between the parties. All terms and conditions of this Agreement shall be binding on the heirs, administrators, personal representatives and assigns of the Owner and Kottage Kennels & Suites, Inc. Owner acknowledges that the terms and conditions set forth are subject to change and agrees to the terms and conditions presented upon date of service.
1.        Pet CARE: Kottage Kennels & Suites, Inc. shall exercise reasonable care and to keep the kennel premises sanitary and properly enclosed for the pet(s) delivered by the Owner to the pet care provider. The pet guest(s) is to be fed properly and regularly, and to be housed in clean, safe quarters. All pet guests boarded, trained, groomed, transported or otherwise cared for by Kottage Kennels & Suites, Inc. without liability on Kottage Kennels & Suites, Inc. part for loss or damage from disease, death, running away, theft, fire, injury to persons, other pets, or property by said pet, or other unavoidable causes, due diligence and care having been exercised.
2.        Pet BEHAVIOR: Although Kottage Kennels & Suites, Inc. watch the dogs carefully, and do not take aggressive dogs, dogs will be allowed to play together and owner acknowledges that it may be hazardous. Owner agrees Owner is solely responsible for any harm caused by their pet(s) while pet(s) are attending Kottage Kennels & Suites, Inc. and is solely responsible for any and all acts or behavior of said pet while it is in the care of the pet care provider, to include payment of costs for injury to staff, pet guests or damage to facilities caused by the pet(s). Owner agrees that if pet(s) cause damage it will be at the pet care providers’ own discretion to relocate the pet(s) to another accommodation or boarding facility and Owner further understands that they will be responsible to pay the original agreed upon rate of stay. Owner releases Kottage Kennels & Suites, Inc. its owner, employees and volunteers of any liability arising from their pet(s) attendance and participation. Owner specifically represents that pet(s) have not harmed or shown aggression or threatening behavior towards any person or any other dog.
3.        Pet HEALTH: Owner specifically represents to Kottage Kennels & Suites, Inc. that, to Owner's knowledge, the pet is in good health and has not been ill or exposed to any contagious diseases within a thirty-day period prior to check-in. During the period of this Agreement, Owner also agrees to notify Kottage Kennels & Suites, Inc. of any known exposure of pet to a communicable disease and hold pet out of attending Kottage Kennels & Suites, Inc. until pet(s) is symptom-free for a minimum of 15 days or with written veterinary clearance. Owner acknowledges that Pets which are not spayed run the risk of coming in-season during their stay and Kottage Kennels & Suites, Inc. reserve the right to send said Pet home if necessary. Owner acknowledges that any expenses incurred due to the Pet being in-season will be at the owners’ expense as well as the total cost of boarding charges. Kottage Kennels & Suites, Inc. reserves the right not to board or groom said Pet who arrives with a possible contagious health issue. Pets arriving ill, have diarrhea, in-season, pregnant or nursing, owner agrees to pay any and all boarding fees and cancellation fees that may apply due to the cancellation of the reserved reservation.
4.        ELDERLY PETS & HEALTH: Owner agrees, and acknowledges, that boarding, daycare, or grooming of an elderly pet, or pet with health problems is at the Owners own risk and may cause the pet additional stress in which the pet could become ill or result in death. Owner releases Kottage Kennels & Suites, Inc. its owner, employees and volunteers of any liability arising from their pet(s) attendance.
5.        VACCINATIONS: Owner authorizes Kottage Kennels & Suites, Inc. to contact their veterinarian to confirm health, temperament and vaccination records. Owner further agrees to maintain currency of vaccinations and provide records from the family veterinarian as required by Kottage Kennels & Suites, Inc. policy.
6.        SPECIAL SERVICES: Owner further agrees to pay all costs and charges for special services requested, and all veterinary costs for the pet(s) during the period said pet(s) is in the care of Kottage Kennels & Suites, Inc.
7.        FLEAS/TICKS: Owner further agrees to be financially responsible for any required treatment for fleas/ticks, if determined necessary by Kottage Kennels & Suites, Inc. in order to provide a flea/tick free environment. If fleas or ticks are abundant, Kottage Kennels & Suites, Inc. reserves the right to refuse to board said pet and all cancellation terms and fees will apply.
8.        GROOMING: Owner authorizes the Groomer to de-matting/thinning out of matted hair if required during the grooming process and that it may cause patchiness and/or hair loss. Owner also acknowledges that shaving/stripping of pet(s) will dramatically change the pet's appearance and the hair will be very close to skin and may expose pre-existing skin conditions or permanent hair loss. Grooming may expose pre-existing health/skin problems for which Kottage Kennels & Suites, Inc. shall not be held liable.
9.        Pet EXPOSURE: Owner understands that there is a possibility for injuries, communicable diseases and parasites when dogs play or are boarded together.
10.     OFF PREMISE: Kottage Kennels & Suites, Inc. agrees that the pet guest(s) is not to be taken off premise except for veterinary care or by the consent of the owner.
11.     Pet TRANSPORTATION: Owner requesting pickup, delivery or pet taxi services, authorizes Kottage Kennels & Suites, Inc. to transport their pet(s). Owner releases Kottage Kennels & Suites, Inc. its owner, employees and volunteers of any liability arising from their pet(s) transportation.
12.     EMERGENCY: Owner understands and authorizes Kottage Kennels & Suites, Inc. that if pet(s) becomes ill or injured, the owner shall be notified at once and if the owner does not inform immediately regarding measures to be taken, or if the state of the animal's health demands quick action and otherwise requires professional attention, Kottage Kennels & Suites, Inc., in its sole discretion, may engage the services of a veterinarian or administer medicine or give other requisite attention to the animal. Owner agrees to be solely responsible for the payment of all medical bills and release Kottage Kennels & Suites, Inc., its owner, employees and volunteers of any responsibility related to such medical care, and the expenses thereof shall be paid by the Owner. This care may be given under whatever conditions are necessary to preserve life, limb or well-being of pet guest(s).
13.     RATES: Owner acknowledges that boarding, grooming and training rates are subject to change and agrees to pay the rate for pet care provided in effect on the date pet(s) are checked into Kottage Kennels & Suites, Inc. Advanced deposits will be required for boarding reservations made months in advanced as well as all major holidays. Special rates will apply for extra-large pets, elderly and special needs. Crated pets will have an additional daily charge for evening turn-out.
14.     CANCELLATIONS: Owner agrees to make any cancellations during normal business hours Monday-Friday. If Kottage Kennels & Suites, Inc. is notified of a cancellation after hours or on a Saturday or Sunday, the cancellation request will be reflected on the next week day. Kottage Kennels & Suites, Inc. must be notified by TELEPHONE or EMAIL to ensure notification since a confirmation number and cancellation email will be provided. Kottage Kennels & Suites, Inc. will not accept any voice mail cancellations. If Kottage Kennels & Suites, Inc. are notified less than the required timeframe, for Non-Holiday or Holidays, charges will be placed to the owner's credit card on file. If owner calls to cancel reservation on the scheduled arrival date of the reservation, or any subsequent day, or simply does not show up on the reserved days, owner will be responsible for the full cost of the time reserved. Advanced deposits will not be refunded if reservation is not cancelled within the appropriate time frame designated during NON-HOLIDAY or HOLIDAY REQUIREMENTS. There may be additional cancellation penalties for reservations made three months or more in advance or during higher demand periods. If owner shortens their trip (EARLY CHECKOUT) during NON-HOLIDAY or HOLIDAYS while the pet is being boarded with Kottage Kennels & Suites, Inc., thereby canceling reserved days, owner will be responsible for the full cost of the number of days reserved.
15.     OWNERSHIP: Owner specifically represents that he or she is the sole owner of the pet(s), free and clear of all liens and encumbrances and Owner is at least 18 years of age.
16.     PAYMENT: Owner agrees that prior to the pet(s) leaving Kottage Kennels & Suites, Inc.; all charges will be paid in full. Owner further agrees that the pet(s) shall not leave the facility until all charges due are paid by owner or proper payment arrangements are agreed upon by both parties. Owner acknowledges that Kottage Kennels & Suites, Inc. is under no duty to make payment arrangements.
17.     PICK-UP: Owner agrees to collect pet(s) at time stated after boarding, training, or grooming or owner will be charged boarding fees for each day uncollected. Owner agrees that all charges incurred by owner for boarding, grooming, training, medicine or veterinary services shall be payable upon pick-up of pet(s) or if pet(s) are not called for within ten days after time for return of pet(s), the pet(s) will be sold within ten days after this period, Kottage Kennels & Suites, Inc. shall have, and is hereby granted, a lien on the pet(s) for any and all unpaid charges resulting from services provided by Kottage Kennels & Suites, Inc. The Owner hereby agrees that in the event the charges are not paid when due in accordance with this contract, Kottage Kennels & Suites, Inc. may exercise in writing by registered mail its lien rights upon three days’ written notice before date of such intended sale to the Owner at the address given hereon, and no further notice shall be deemed necessary. Kottage Kennels & Suites, Inc. may dispose of pet(s) for any and all unpaid charges, at private or public sale, or otherwise for the best price available in the sole discretion of Kottage Kennels & Suites, Inc., and Owner specifically waives all statutory or legal rights to the contrary. If such sale shall not secure a price adequate to pay such costs of pet(s) care or other charges delinquent, plus costs of sale, then Owner shall be liable to Kottage Kennels & Suites, Inc. for the difference. All monies realized by Kottage Kennels & Suites, Inc. at such sale any excess amount over and above the charges due costs of sale shall be paid to the Owner.
18.     By signing this Agreement and leaving pet(s) with Kottage Kennels & Suites, Inc., Owner certifies to the accuracy of all information given about said pet(s). Kottage Kennels & Suites, Inc. reserves the right to deny admittance to Owner's pet(s) for any reason at any time.
19.     By signing this form, Owner certifies that he/she acknowledge and have read, understand and accept the terms and conditions set forth by this agreement and that he/she are the sole owner of the pet(s) or that he/she is acting on the Owners behalf, and that he/she is authorized to sign this form. Further the undersigned is of age of majority.

I have read and understand the above "Terms and Conditions": *

Signature: By signing this Agreement and leaving pet(s) with kottage, kennels & suites, inc., Owner certifies to the accuracy of all information given about said pet(s). kottage kennels & suites, Inc. reserves the right to deny admittance to Owner's pet(s) for any reason at any time. By signiing this form, owner certifies that he/she acknowledge and have read, understand and accept the terms and conditions set forth by this agreement and that he/she are the sole owner of the pet(s) or that he/she is actiing on the owners behalf, and that he/she is authorized to sign this form. Further the undersigned is of legal age of majority.

Owners Signature, First and Last Name *

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