Contact Name *
(Required)
Contact Email Address *
(Required)
Pet Name *
Drop Off / Pick Up Dates *
Is your pet experiencing any of the following problems? *
Coughing
Vomiting
Sneezing
Diarrhea
NONE
Has your pet recently experienced any changes in eating or drinking? *
Yes
No
Does your pet have any behavior or health concerns that we should know about?
When was the last time flea prevention was applied? *
What product did you use? *
Please indicate if you will be bringing your pet’s food or if we will be feeding our food (Purina EN). *
Own food
Hospital food ($5/day)
How much do you feed at each meal? *
When does your pet eat? *
Twice a day
Morning only
Evening only
If your pet is picky about eating, can they have our canned food mixed in (no extra charge)? *
Yes
No
Is your pet on any medications? *
Yes
No
If yes, please list the name and dose of the medications and when they should be given (Twice a day, morning only, evening only) *All medications must be in the original bottle. Medications in baggies or mixed in with food is prohibited.
Please acknowledge the following: *
I understand there is a charge of $5 per day to administer medications
If your pet experiences any non-emergency health problems (ex: stress diarrhea), how would you like us to proceed? *
Treat pet for any issues that arise
Attempt to contact me first, but treat if unreachable
Best phone number(s) to reach me at *
Clear Creek provides plenty of bedding for all of our boarders. Due to the large volume of laundry we perform each day, we do not recommend leaving your pet's personal bedding with them during their stay. I understand that if I leave such belongings, there is a chance they may not be returned. *
(Required)
I understand
Would you like your pet to receive any of the following?
Play times ($11 per session)
Cuddle times ($10 per session)
Enrichment activities ($7 per session)
Select All
If your pet is receiving play, cuddle, or enrichment sessions, how often would you like them to participate in these activities?
I certify all the information entered is correct. *
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