Veterinary Contact
Name: *
City / State: *
Please have your veterinarian fax us a copy of most current vaccinations prior to your arrival to avoid any delays during check in.
ANIMALS THAT HAVE NOT BEEN VACCINATED AT LEAST 72 HOURS PRIOR TO ARRIVAL WILL NOT BE ACCEPTED UNDER ANY CIRCUMSTANCES.
The minimum requirements are as follows:
Dogs: Rabies, DHP, Parvo and BordetellaCats: Rabies and FVRCP
We are a flea free facility!! We administer a Capstar tablet to all pets lodging with us at a charge of $5.00 per visit. This is not an optional item and more information about it is available upon request.
Pet Information
Type of Pet: *
Please select one
Dog
Cat
Other (Describe Below)
Other Type of Pet:
Name: *
Nickname:
Breed: *
Age: *
Weight: *
Color: *
Sex: *
Please select one
Male
Female
Neutered / Spayed: *
Please select one
Yes
No
Does your pet have any allergic reactions to anything?
Does your pet exhibit any fears or phobias that we need to be aware of? Please explain:
Do you feel your dog would socialize with a group of other dogs? *
Please select one
Yes
No
The Legal Stuff (Our lawyer made us do it!)
The following represents a contract between My Second Home and the Owner of the pet whose name appears on this Application and Facility Agreement (the “Agreement”):
By signing this Agreement and leaving his/her pet with My Second Home, Owner certifies to the accuracy of all information given in the Agreement.
Owner agrees to pay the rate for boarding, grooming, daycare and any other requested services in effect on the date pet is checked into My Second Home.
Reservations are only accepted with a $75.00 deposit during our standard season. This deposit is due at time of reservation and may be fully refunded if cancellation is made at least 7 business days prior to planned arrival date. By signing this agreement, I authorize My Second Home to charge my credit card upon my reservation (otherwise I must pay by cash or check in person). I understand that my deposit is forfeited if I do not make proper notice of cancellation.
Owner further agrees that the pet shall not leave My Second Home until all charges are paid to My Second Home by Owner. My Second Home shall have and is hereby granted, a lien on the pet for any and all unpaid charges resulting from boarding pet at My Second Home. The Owner hereby agrees that in the event the boarding charges are not paid when due in accordance with this Agreement, My Second Home may exercise its lien rights upon ten days written notice given by My Second Home to Owner by certified mail to address shown on this Agreement. My Second Home may sell the pet for any and all unpaid charges, at private or public sale, in the sole discretion of My Second Home, and Owner specifically waives all statutory or legal right to the contrary. If such sale shall not secure a price adequate to pay such cost of boarding or other charges, plus cost of sale, then Owner shall be liable to My Second Home for the difference. All monies realized by My Second Home at such sale, over and above the charges due and costs of sale, shall be paid by My Second Home to Owner.
At My Second Home the security and care of your pet is the cornerstone of our business. For your protection, only the Owner or the person listed as the authorized pick up person will be able to pick up the pet. Please list any other persons you authorize to pick up your pet below:
Name:
Phone:
Name:
Phone:
If any problem or emergency develops and it is necessary to treat your pet, please initial one of the following directives: I agree to be responsible for any and all charges incurred to care for my pet‘s health per my choice.
You must select one of the following options: *
Please treat my pet as required: You need not contact me.
Perform only emergency and supportive care. Notify me for permission to begin any other treatment.
Do not perform any diagnostics and/or treatment until I am notified and consent to treat. I understand that my pet's health may be at risk until I am notified.
Owner: *
Date:
Submit
