8300 E. Tanque Verde Rd.
Tucson, Arizona 85749

Phone : 520-546-8387

Fax : 520-620-3403

Pet Resort Admission Form

Resort Guest Name
Dates of Stay - from to
I will be picking up
Has he/ she received a flea and tick preventative this month?  Yes No

If yes, brand

Food

Amount: dry canned

Dogs: There is a charge of $2.44/can of canned food.

Cats: There is a charge of $1.97/can of canned food.

Feeding Schedule:

Does he/she still need to be fed today:
If your pet is not eating well, may we add some canned food?

Dogs: There is a charge of $2.44/can of canned food.

Cats: There is a charge of $1.97/can of canned food.

(If bringing more than one pet) My dogs/cats will need to be fed separately:

Current Medications

Name of medication directions
Name of medication directions
Name of medication directions
Name of medication directions
Name of medication directions
Has he/she received all of today’s morning medications?

Charges for medication administration are as follows:

oral medications $2.50 per day, injectable medications $4.50 per day

Is he/she allergic to anything?

Please list all current and ongoing medical conditions

My pet…

Is there anything else you would like us to know about your pet?

If your pet does not already have a microchip, would you like us to place one for $68.25 which

includes the one-time registration fee? my pet has a microchip

Requested A La Carte Enrichment Services:

Comfort

Tasty Treats for Dogs

how often

how often

how often

Tasty Treats for Cats

how often

Please provide us with a local contact person in the event that we cannot reach you.

Name Phone number

Personal Belongings:

We cannot accept responsibility for leashes, toys, blankets, etc. that may become lost while your pet is in our resort. We do provide bedding and toys in the resort for all pets during their stay. If you insist on leaving any personal belongings, please provide us with a list below. All belongings must be identified with permanent marker.

Owner Signature
Date