New Client Form

Loving Pet Inn & Resort

336-393-0670

Company

This field is for validation purposes and should be left unchanged.

Name(Required)

First Last

Address(Required)

Street Address City State / Province / Region ZIP / Postal Code

Email(Required)

Home Phone

Cell Phone(Required)

Spouse's Name

Spouse's Phone

Pet's Name (One Pet Per Form)(Required)

Animal's Date of Birth(Required)

Breed

Color

Weight(Required)

Is your pet(s) a(Required)

Male

Female

Is your pet(s) spayed/neutered(Required)

Yes

Does your pet do any of the following : (check all that apply)

Climb fences

Bark exccessively

Have a thunderstorm phobia

Show aggression when placed in a kennel

Does your pet(s) have a diagnosed medical condition?(Required)

Yes

What is/are the diagnosed condition(s)?(Required)

Does you pet(s) have any known allergies?(Required)

Yes

If yes, please specify known allergies(Required)

Other than being spayed/neutered has your pet ever had a major surgery?(Required)

Yes

Tell us about the surgeries(Required)

Has your pet(s) ever bitten a person or other animal?(Required)

Yes

If yes, please specify the details of the bite(Required)

Is your pet(s) ok with other animals?(Required)

Yes

Is your pet(s) allowed to have blankets, towels, or bedding to sleep with?(Required)

Yes

Do you give permission for your pet(s) to play with other pets outside in the outdoor area?(Required)

Yes

Is your pet currently on veterinary prescribed medication other than flea, tick or heart-worm prevention? All medication MUST be in the original bottle with the pet's name on it!(Required)

Yes

If yes, please specify the name(s) of the medication(s):(Required)

MULTIPLE PET HOUSEHOLD

Can your pets be boarded in the same enclosure?(Required)

Yes

Have your pets boarded together previously?(Required)

Yes

Do your pets live together in the same home?(Required)

Yes

Can your pets be fed together?(Required)

Yes

Can they be fed side by side?(Required)

Yes

Have your pets had any physical altercations in the past, about food or otherwise?(Required)

Yes

If yes, please elaborate(Required)

Are there any other instructions or information to help us keep your pet safe during his/her stay?(Required)

Media Release

I grant Loving Pet Inn & Resort LLC permission to post my pet's picture or video including name on social media(Required)

Yes

PERMISSION TO AUTHORIZE EMERGENCY MEDICAL TREATMENT

Preferred Veterinary Clinic(Required)

Preferred Veterinarian(Required)

If you are unavailable, who else may we contact regarding your pet's medical treatment in case of emergency?(Required)

First Last

Home Phone #

Cell #

IN WITNESS WHEREOF, the undersigned hereby agrees that all information provided is accurate to the best of his/her knowledge and executes the Agreement as of the date set forth as of the date submitted below In the event of an after-hours emergency, your pet may need to be transported to an emergency care facility. Emergencies can be costly and typically involve fees in excess of $150.00. Please note that the amount chosen reflects treatment for each pet.

Please indicate below the dollar amount you pre-authorize for emergency veterinary care in the event that we are unable to reach you or your designated emergency contact In the event of an after-hours emergency, your pet may need to be transported to an emergency care facility. Emergencies can be costly and typically involve fees in excess of $150.00. Please note that the amount chosen reflects treatment for each pet.

Pre-authorized amount(Required)

$1-150

$151-300

$301-500

Any amount

Terms of Service

This is a contract (hereafter the “Agreement”) between Loving Pet Inn & Resort LLC (hereafter the “Company”) and the pet owner or agent whose signature appears below. This Agreement will be valid for one year (365 days) from the date of signing.

The owner or agent agrees to pay the rate in effect on the check-in date for all services including boarding, daycare, bathing, grooming, veterinary services, and other services requested or agreed to by the owner while the pet is boarding. The charges are to be paid in full prior to the departure of the pet from the Company.
Daycare reservations are recommended but typically not required. Daycare without a reservation is offered first-come, first-served, and may, from time to time, be refused if the facility has reached capacity.
The owner agrees to be responsible for payment of veterinary services if necessary. The Company agrees to contact and transport the pet of the owner’s veterinarian of choice if possible. The owner agrees to allow the Company to employ a veterinarian of their choosing if the owner’s veterinarian is not available, does not give the care deemed necessary, or if time is so critical that veterinary services need to be provided immediately.
After ten days from written notice to remove this animal from the Company, it wilt be considered abandoned and may be transferred to an appropriate animal shelter or to an individual deemed by the Company to be able to responsibly care for said pet. Abandonment will not relieve the owner or agent from paying all reasonable costs incurred regarding this animal, including interest, collection fees, and attorney fees if necessary.
The owner acknowledges he/she has disclosed and will disclose any aggression or bites by the pet prior to any current or future check-in. The owner acknowledges that the pet has not been exposed to any contagious disease within 30 days prior to any current or future check-in, including, but not limited to, rabies, distemper, parvovirus, canine cough or upper respiratory disease and that the pet is currently vaccinated for rabies. The owner acknowledges even though their pet has been vaccinated for kennel cough there is still a possibility of their pet contracting the illness. Kennel cough is one of the most common illnesses that dogs contracts. There are variations in strains of kennel cough and the current vaccines are not designed to protect against all types. In the event the pet contracts an illness the owner assumes all risks and agrees to pay for all medical treatment and does not hold the Company responsible for any costs.
The staff at the Company takes all reasonable precautions and closely supervises each pet to avoid the ingestion of any foreign objects, however, animal behavior is unpredictable. The Company will not be held responsible for the ingestion of any foreign object such as, but not limited to, rocks, toys, treats, bedding, etc.
The staff at the Company takes all reasonable precautions and closely supervises each pet to ensure a safe and injury-free environment. Animal behavior, however, can be unpredictable and instantaneous. As such, in facilities that offer group play care, the Company cannot guarantee that injuries (bites, scratches, etc.) will never happen. In cases when the Company can identify the pet that caused the injury (via eyewitness reports, video footage, etc.), the Owner of that pet assumes responsibility and costs to treat the injured pet(s). In cases where the pet causing the injury cannot be identified, the Owner of the injured pet assumes responsibility and costs to treat the injured pet. In cases of injury caused by the Company (human error, dangerous facility disrepair, etc.), the Company assumes responsibility and cost to treat the injured pet(s).
A charge for CAPSTAR flea treatment will be added to the bill if your pet has fleas at check-in.
The management assumes no responsibility for lost or damaged items. If you bring personal property from home, you do so at your own risk. We cannot guarantee the security of personal belongings.
Prescription medications must be in a prescription bottle with a current prescription label from a licensed veterinarian. Medication fee – $2.00 per administration.

Signature(Required)