New Customer Online Reservation Form

* = required field

Owner's Name: *

Email Address: *

Phone Number: *

Work Number:

Address: *

City: *

State: *

Zip Code: *

Veterinarian: *

Emergency Contact: *

Emergency Phone Number: *

Date Arriving: *

Time:

Date Departing: *

Time:

Pet's Name (1): *		Breed: *
Birthdate (MM/DD/YY):		Weight (lbs): *

Feeding Instructions:	Owner's Food or Happy Tails Food
Quantity Per Feeding:		Feedings Per Day:
Special Instructions: (Feeding or other info we should be aware of)

Kennel Bath?	Flea Dip?

By submitting this form, you confirm that you have read and agree to our Release Form.

REMINDERS:

If bringing your own food, please individually bag each day's portions.
You will need to provide a copy of your pet's up-to-date Rabies, Distemper, and Bordetello shot records at time of check-in, or fax them to us at 410-923-0618 prior to check-in.
Toys from home are accepted, but we are unable to guarantee their return.
We provide raised, orthopedic beds for all our boarding guests, so please do not bring bedding from home.