Clint Moore Pet Resort / Dog BoardingClick HERE to print a copy of the form or fill out the online form belowPet's Name (Required)*Pet's Age (Required)*Box #Owner's Name (Required)*Owner Phone (Required)*Owner Email (required)* Date In (Required)*Date Out (Required)*Pickup Time (Required)*Emergency Contact (required)*BATHING OPTIONSEvery animal will be bathed and or groomed at owners expense. (Mandatory) Grooming (Must Have Appt. Scheduled Prior) Kennel Bath/Shampoo Requests House/Owner Supplied Diet Vet CheckPlease leave detailed instructions for Grooming, Kennel Bath, Feeding, Diet and/or Vet CheckVACCINATIONS We must have written proof that all inoculations are current and have been received prior to admission! We encourage our clients to fully vaccinate their pets the following vaccines are required for boarding:RabiesDistemperParvovirusBordetellaInfluenzaIf parasites/worms are found, treatment will be done at owner’s expense.Outdoor Activities Carry a Risk of Injury. Clint Moore AnimalHospital is Not liable for Injuries During Outdoor Activities. Group Play @ The Resort $22.00/Day Private Play With Staff $22.00/Day - For dogs that are not dog friendly) Zylkene 14 Count Pack - A drug-free supplement that naturally calms anxiety associated with a change of environment while boarding (extra charge) Medications Marketing - on Instagram and Facebook (@clintmooreanimalhospital) I authorize Clint Moore Animal Hospital to take photos and use photos for social media.Please list medicationsSpecial Instructions & BelongingsClint Moore Resort is not responsible for lost or damaged itemsClient Authorization Signature*Date (Required)*