New Clients

**PLEASE COMPLETE New Client Form ON A COMPUTER**
due to some phones and tablets only send an email address

NOTE: You will hear back from us within 24 hours, if not, please call us at (478) 994-7387. This may be due to technical difficulties. The office staff will call to request your pet's vaccine records, and call you to set up a TEST DAY with your pet. After these are completed- we will book your daycare or boarding stay. We look forward to talking with you soon!

Fill in ALL FIELDS- if information does not apply type N/A- otherwise form will not send properly.

* Indicates required field

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 *

Work Phone Number *

Email *

Emergency Contact Name (local friend or family member who is authorized to pick up your pet) *

Emergency Contact Telephone Number *

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

Veterinarian Office/Dr. Name *

Veterinarian Telephone Number *

1st Pet Name *

Dog/Cat *

Breed & Color *

Age & Weight *

Gender (male/female) *

Spayed/Neutered *

1st Pet Overall Health/Medications/Conditions *

2nd Pet Name *

Dog/Cat *

Breed & Color *

Age & Weight *

Gender (Male/Female *

Spayed/Neutered *

2nd Pet Overall Health/Medications/Conditions *

3rd Pet Name *

Dog/Cat *

Breed & Color *

Age & Weight *

Gender (Male/Female) *

Spayed/Neutered *

3rd Pet overall health, medications/Conditions *

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

Is your Pet potty trained FOR OUTSIDE? *

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 an excessive barker? (yes/no) *

Is your pet pee pad trained only? (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) Explain. *

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

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

If your pet is a chewer, do they eat what they chew? (Yes/No) *

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) *

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

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

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

May your dogs eat together or do they need to be seperated in a different room? (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. *

Do you understand our policy of not taking your pet to the veterinarian/groomer at a vet's office- with 15 days of your Kottage Kennels boarding/grooming appointment? (yes/no) *

Kottage Kennels & Suites
TERMS and CONDITIONS
This is an Agreement between Kottage Kennels & Suites 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. 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 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 without liability on Kottage Kennels & Suites 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 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 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 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 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 of any known exposure of pet to a communicable disease and hold pet out of attending Kottage Kennels & Suites 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 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 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 its owner, employees and volunteers of any liability arising from their pet(s) attendance.
5.        VACCINATIONS: Owner authorizes Kottage Kennels & Suites 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 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.
7.        FLEAS/TICKS: Owner further agrees to be financially responsible for any required treatment for fleas/ticks, if determined necessary by Kottage Kennels & Suites in order to provide a flea/tick free environment. If fleas or ticks are abundant, Kottage Kennels & Suites 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 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 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 to transport their pet(s). Owner releases Kottage Kennels & Suites its owner, employees and volunteers of any liability arising from their pet(s) transportation.
12.     EMERGENCY: Owner understands and authorizes Kottage Kennels & Suites 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, 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, 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. 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 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 must be notified by TELEPHONE or EMAIL to ensure notification since a cancellation email will be provided. Kottage Kennels & Suites will not accept any voice mail cancellations. If Kottage Kennels & Suites 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 HOLIDAYS or FULLY BOOKED peak vacations while the pet is being boarded with Kottage Kennels & Suites 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; 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 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 10 days after time for return of pet(s), the pet(s) will be sold within 10 days after this period, Kottage Kennels & Suites 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. The Owner hereby agrees that in the event the charges are not paid when due in accordance with this contract, Kottage Kennels & Suites may exercise in writing by registered mail its lien rights upon 3 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 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 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 for the difference. All monies realized by Kottage Kennels & Suites 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. Owner certifies to the accuracy of all information given about said pet(s). Kottage Kennels & Suites 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. Owner certifies to the accuracy of all information given about said pet(s). Kottage Kennels & Suites reserves the right to deny admittance to Owner's pet(s) for any reason at any time. 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 legal age of majority.

Owners Signature, First and Last Name *

NOTE: You will hear back from us within 24 hours, if not, please call us at (478) 994-7387. This may be due to technical difficulties.

Submit

New Client Application

Contact Us:
195 Klopfer Road,
Juliette, Georgia 31046
478-994-7387
website- kottagekennels.com

email-kottagekennels@
reynoldscable.net

Facebook- Happy Campers Pet Lodge

New Client Application

Contact Us:195 Klopfer Road, Juliette, Georgia 31046478-994-7387website- kottagekennels.comemail-kottagekennels@reynoldscable.net​Facebook- Happy Campers Pet Lodge

Contact Us:
195 Klopfer Road,
Juliette, Georgia 31046
478-994-7387
website- kottagekennels.com

email-kottagekennels@
reynoldscable.net

Facebook- Happy Campers Pet Lodge