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Town And Country Pet Care, Inc.
Fax In Reservation Form

Print & Fax
fax to 336-623-5506

BOARDER WORKSHEET
 
PREVIOUS CLIENT     YES     NO
 
E-MAIL FOR CONFIRMATION: __________________________
 
Last Name ___________________ First Name(s)____________________
 
Address ____________________________________________________
 
City _____________________ State ____________ Zip ______________
 
Home Phone  # _________________ Best Contact # ______________
 
1) Pet Name _______________ Breed ______________ Sex M - N   F - S
 
2) Pet Name  ______________ Breed ______________ Sex M - N    F - S
 
3) Pet Name _______________ Breed ______________ Sex M - N   F - S
 
Pet Approximate Weight 1) _________/2)___________/3)___________ 
 
Veterinarian Clinic __________________ Telephone # _______________
If Reidsville Veterinary Hospital is your vet or if your veterinarian is out of area, you must have your vaccinations faxed by your veterinarian 48 hours prior to your board date
 
Date In _____________ Date Out _____________ Time Out _________
 
Please Select The Type Of Accomodations:
(Dogs:  50 Lb + Under Maximum 3 per run  / 51 + Maximum 2 per run)
(Cats:  1 Cat Per Single / Maximum 2 Cats Per Duplex)
 
Indoor Run ____________ # Pets ___________/ Run
 
Indoor/Outdoor Run _________________ # Pets_____________/Run
 
Cattery    Single _________________ Cattery Duplex _____________
 
Please Select Feeding Instructions:
 
Iams _______ Pedigree _______ Own Food _______  Dry     Canned
Own Dry Food Must Be Daily Bagged Per Feeding
 
AM       MID DAY       PM       LEAVE DOWN
 
Please Select Medication Instructions:    OR   NONE
 
Medication :_________________  ________________  ____________
 
AM      MID DAY       PM    
 
Please Select Playtimes, Walks or Special Attention:   OR  NONE
 
Level   I   II    III    IV    Camper Program (6 Night Stay Required)
 
Afternoon Walk     
Please Select Departure Services:     OR    NONE
 
Bath      Brush Out      Trimming      Nail Trim       All Over Groom
 
Other: ______________________
 
Please Note:
 
  1. Collars or leashes may be left at the kennel.  Own dry food must be daily bagged per feeding and only enough for the pet's stay.
  2. Only enough treats for the pet's stay.
  3. Payment is expected upon pick-up if other arrangements have not been made with management prior to drop-off.
  4. Enough medication for your pet's stay and a little extra in case you want to stay longer. If you would like to make changes to your reservation, please notify our kennel manager when you sign the boarding contract.