Daycare Reservation Form: First Time Guests

Daycare Reservation Form: First Time Guests

Submitting this request DOES NOT guarantee availability. A representative will contact you within 24 hours to confirm this reservation if space is available.
Location *
Full Name *

First Name Last Name
Guest's Name *
E-mail *
Phone Number *

Area Code Phone Number
Daycare Date *

Month Day Year
Room Type *
Additional Notes
How would you like to be reached for confirmation? *
Is this your pet's first time boarding at this location? *

Daycare Liability Waiver
I have read and understand the Daycare Liability Waiver *

Yes No
Medical Illness Policy

One of the advantages of daycare at a facility such as the Animal Care Centers is that veterinary attention is readily available should the need arise. If your pet is injured, we will call the emergency # listed on the daily form regarding your pet's symptoms, treatment plan, and estimate of additional costs. If no one can be reached however, please indicate your wishes below:
Please choose one of the following:
Option 1

If you are unable to contact the emergency contact please perform whatever services the Doctor recommends for overall well-being and general health of my pet.
Option 2

If you are unable to contact the emergency contact please perform whatever services the Doctor deems necessary for the best care of my pet, only in the event of a potentially life-threatening situation. I understand treatment may need to be started before I can be reached.
Option 3

If you are unable to contact the emergency contact please do not administer any medical treatment until specific authorization is given regardless of the situation. Please keep in mind that we CANNOT help your pet in the event of an emergency.
Which option would you like to choose? *

Option 1 Option 2 Option 3
If you chose Option 1 or Option 2, please indicate the financial amount authorized ($)

Daily Daycare Questionnaire
Emergency Contact Phone # *

Area Code Phone Number
Would you like us to feed your pet during daycare? *

Yes No
If yes, how much?
Are you leaving any items with us today?
Would you like any additional items?

Nail Trim Bath Brush out Frozen Yogurt Treat!
We like to take pictures of our guests and put them on our Facebook page. Do we have your permission to post such pictures of your pet? *

Yes No
Signature *

Clear
Should be Empty:

General Questionnaire