Boarding Contract Please complete this form if you do not need to request a boarding reservation or grooming appointment, but do need to submit a signed boarding contract for us to keep in your file. You can call us at (434) 295‑3679 with any questions. Step 1 of 4 - Contact Information 0% Your Name* First Last Your Email Address*Please enter the best email address with which to contact you about your booking. Enter Email Confirm Email Your Primary Phone Number*Please enter your primary phone number to call about this booking. Your PetsHow Many Pets Will Be Visiting?*12345Pet #1Pet 1: Name*Please enter a name for your pet.Pet 1: Veterinarian*Pet 1: Known Medical Conditions*Does your pet have any known medical conditions?YesNoPet 1: Medical Conditions*Please list any medical conditions your pet has here.Pet #2Pet 2: Name*Please enter a name for your pet.Pet 2: Veterinarian*Pet 2: Known Medical Conditions*Does your pet have any known medical conditions?YesNoPet 2: Medical Conditions*Please list any medical conditions your pet has here.Pet #3Pet 3: Name*Please enter a name for your pet.Pet 3: Veterinarian*Pet 3: Known Medical Conditions*Does your pet have any known medical conditions?YesNoPet 3: Medical Conditions*Please list any medical conditions your pet has here.Pet #4Pet 4: Name*Please enter a name for your pet.Pet 4: Veterinarian*Pet 4: Known Medical Conditions*Does your pet have any known medical conditions?YesNoPet 4: Medical Conditions*Please list any medical conditions your pet has here.Pet #5Pet 5: Name*Please enter a name for your pet.Pet 5: Veterinarian*Pet 5: Known Medical Conditions*Does your pet have any known medical conditions?YesNoPet 5: Medical Conditions*Please list any medical conditions your pet has here. Additional InformationNew customers should provide this additional information for us to keep on file.Your Address Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Alternate Phone NumberPlease enter an alternate phone number in case we cannot reach you with your primary phone number.Emergency Contact Person: NamePlease enter your emergency contact person's name. We will only contact this person in the event of an emergency in which you are unreachable. First Last Emergency Contact Person: Phone NumberPlease enter the phone number of your emergency contact in case we cannot reach you. Pet Motel and Salon Boarding ContractPet Motel and Salon requires full payment for all boarding and grooming services upon departure of the pet. Fees for lodging are posted on our website and also in our lobby area. The Pet Motel and Salon’s boarding fees are calculated by counting the number of days the pet has boarded, starting with the check-in day. We do not calculate boarding stays using a 24-hour clock and have a 12 noon check-out time on the day of pick-up (Monday-Saturday). Pets picked up after 12 noon will be charged the full boarding rate for that day. We charge a full days’ boarding fee for all Sunday pick-ups. The Pet Motel and Salon is not a 24-hour care facility. We monitor and care for your pets during our business hours and we usually start our animal care 1-2 hours prior to opening. Please review our business hours on our website. Pet Motel and Salon requires that all pets boarding be free of ticks and fleas. Any pet that is determined to have fleas/ticks upon admittance to the boarding facility will be treated to rid these pests at the pet owner’s expense. Pet Motel and Salon requires all dogs have current immunizations against Rabies, Distemper, Parvovirus, and Bordetella (type of canine cough). The Bordetella vaccine does not treat all forms of canine cough. Please have your dogs vaccinated at least 5-7 days prior to boarding. The Pet Motel and Salon will not be responsible for any communicable diseases your dog contracts during its stay here, despite our vaccination requirements. Pet Motel and Salon requires all cats have current immunizations against Rabies, Feline Distemper, Rhinotracheitis, and Calici Virus. Please have your cats vaccinated 5-7 days prior to boarding. The Pet Motel and Salon will not be responsible for any communicable diseases your cat contracts during its stay here, despite our vaccination requirements. Pet Motel and Salon will exert due diligence in providing a safe and secure environment for your pet. We will not be responsible for injuries to your pet arising from escape attempts, climbing, “cage-fighting”, or rubbing/pawing at their enclosure. Pet owners will be solely responsible for any veterinary expenses resulting from necessary treatment for these type injuries. Pet Motel and Salon will provide a sanitary boarding space for all pets boarding here. Some pets may experience intestinal issues due to stress, such as diarrhea or loose stools. Pet owners will be responsible for any veterinary costs associated with treating this issue. Pet Motel and Salon encourages pet owners to bring food from home to keep their pet’s diet consistent. Bringing food that your pet is accustomed to eating will minimize digestive issues arising from a change in foods. Pet Motel and Salon encourages pet owners to bring in personal belongings from home to help make their pet’s stay most comfortable. We will not be responsible for any personal items that get damaged or misplaced during the pet’s stay here. Please make sure all personal items are expendable should they get misplaced or damaged despite our best efforts to properly return them. Pet Motel and Salon does not offer medication orally by hand-pilling directly into the mouth. Instead, we only offer medication through food, hidden in a canned meat ball. The Pet Motel and Salon will not be responsible for any pet that refuses or fails to consume its necessary medication. The pet owner will provide an emergency contact and an emergency phone number at check-in.Emergency Care PolicyPet Motel and Salon will attempt to contact the pet owner/emergency contact should a pet require veterinary care. If a pet requires veterinary services, Pet Motel and Salon will be authorized to use Monticello Animal Hospital, when available, to provide the requisite medical care up to and including $500 or the amount specified below, whichever is greater (Pet Owner is responsible for paying for the medical care). An emergency veterinarian clinic will be used for veterinary care that is required outside Monticello Animal Hospital’s normal business hours. Pet Owner agrees that Pet Motel and Salon can, at its own discretion, determine when a pet needs veterinary treatment during its stay here. If a veterinarian determines that emergency treatment, which exceeds the authorized amount, is needed to save the pet’s life or quality of life, and we cannot reach the owner or emergency contact, the Pet Motel and Salon can authorize the veterinarian to perform the necessary emergency treatment. Owner agrees to be responsible for all veterinary costs provided to their pet.Emergency Medical Care Authorized Spending LimitIn the event that a pet requires veterinary services from Monticello Animal Hospital or an after-hours Emergency Veterinary Care service, please enter an authorized spending limit, if it is greater than our mandatory minimum authorized limit of $500. Senior Pet Addendum (10 years or older)Sometimes the boarding kennel environment is not ideal for older pets. We accept senior pets that still function well. They must be able to get up without assistance, and still respond to human interaction/touch. Should your senior pet require emergency care or medical assistance (we use Monticello Animal Hospital when available), and we are unable to immediately contact you, please indicate what medical treatment option you would prefer or any financial cap considerations due to the pet’s age and known medical conditions. Please clearly explain the Medical Treatment Plan for your senior pet(s):Authorized Signature*By digitally signing below, you confirm that you have read and agree to all Pet Motel and Salon policies listed in this boarding contract.All pets listed in this form are to be covered under the boarding policies contract. This iframe contains the logic required to handle Ajax powered Gravity Forms.