Standard Form - For New Customers

If you've boarded your pets with us before, feel free to use our streamlined reservation form.

* = Required Fields.

Owner Information
First Name*
Last Name*
Address Line 1*
Address Line 2
City*
State*
Zip Code*
Contact Phone*
Work Phone
E-mail*

Your Veterinarian
Veterinarian Name
Veterinary clinic
Phone

Emergency Contact (for boarding period)
First Name*
Last Name*
Phone*

Desired Boarding Dates (MM/DD/YYYY)
From*	Drop in AM or PM
To*	Pick up before noon

First Pet - General Information
Name*
Type*	Cat Dog
Sex*	Male Female
Breed*
Neutered/Spayed*
Date of Birth
Special Diet
Feeding Times
Amount Per Feeding
Medications
Health Concerns

First Pet - For Dogs Only
Can your dog jump over an 6-8 foot fence?	Yes No
Is your dog a digger?	Yes No
Does your dog get along with other dogs?	Yes No
Can your dog be placed outside with other dogs?	Yes No
Has your dog been boarded before?	Yes No

First Pet - Vaccinations
The following vaccinations are required for all services. We require a veterinary certificate showing current vaccinations for all pets. All vaccinations should be done 2 weeks prior to boarding and we do require Bordetella every 6 months. Please Fax or bring a copy of your records. Please check appropriate box if vaccinaation is current.
Dogs	Select	Cats	Select
DHLPP (distemper/parvo)		Feline Leukemia (1)
Rabies		Rabies
Bordetella (2)		FVCRP (distemper)
(1) We require the Leukemia shot, not a test for Leukemia (2) Required every 6 months

First Pet - Flea Information
Is your pet on flea prevention?	Yes No
When your pet is dropped off, an assessment is done which includes an inspection for fleas. If your pet has fleas, they are given a bath and treated with Advantage at your cost.

First Pet - Additional Services (for dogs)
We require you to select a minimum of one activity for your dog during their stay. Even an older dog likes to walk and explore Ponderosa. Please choose at least one of the following activities.
Extra play time/walks (daytime favorite activity)	Yes No
Pool play (June to September)	Yes No
Community play	Yes No

Second Pet - General Information
Name
Type	Cat Dog
Sex	Male Female
Breed
Neutered/Spayed
Date of Birth
Special Diet
Feeding Times
Amount Per Feeding
Medications
Health Concerns

Second Pet - For Dogs Only
Can your dog jump over an 6-8 foot fence?	Yes No
Is your dog a digger?	Yes No
Does your dog get along with other dogs?	Yes No
Can your dog be placed outside with other dogs?	Yes No
Has your dog been boarded before?	Yes No

Second Pet - Vaccinations
The following vaccinations are required for all services. We require a veterinary certificate showing current vaccinations for all pets. All vaccinations should be done 2 weeks prior to boarding and we do require Bordetella every 6 months. Please Fax or bring a copy of your records. Please check appropriate box if vaccinaation is current.
Dogs	Select	Cats	Select
DHLPP (distemper/parvo)		Feline Leukemia (1)
Rabies		Rabies
Bordetella (2)		FVCRP (distemper)
(1) We require the Leukemia shot, not a test for Leukemia (2) Required every 6 months

Second Pet - Flea Information
Is your pet on flea prevention?	Yes No
When your pet is dropped off, an assessment is done which includes an inspection for fleas. If your pet has fleas, they are given a bath and treated with Advantage at your cost.

Second Pet - Additional Services (for dogs)
We require you to select a minimum of one activity for your dog during their stay. Even an older dog likes to walk and explore Ponderosa. Please choose at least one of the following activities.
Extra play time/walks (daytime favorite activity)	Yes No
Pool play (June to September)	Yes No
Community play	Yes No

If you have additional pets to enter, you will be given the option to add pets after submitting this form.

Comments

Pleas enter any additional information you think may be useful below. For dogs, in particular, we also would like to know:

Does your dog exhibit any behavior we should know about?

Does your dog bite while in the car? If touched? Or under any other conditions?

Miscellaneous

At your request we can provide a bath for your pet upon your departure date. This includes nails trimmed and ears cleaned. Starts at $25.00. Brush out at extra cost.

We encourage you to bring 1 to 2 personal items of your pet's (must be clean and sanitized). Please write your pet's name along with your last name to each item. We are not responsible for lost or damaged items. No rawhide toys or choker collars.

Please note that this request does not guarantee a confirmed reservation. A $50.00 deposit per pet is required to confirm your reservation. We will contact you within 24 to 48 hours to confirm your reservation. The $50.00 deposit goes toward your boarding. If you cancel within 72 hours prior to your stay, you will forfeit your deposit. No refunds are given but your account will be credited for future use. Credits are valid for 6 months. For the following holiday reservations: New Years, 4th of July, Thanksgiving and Christmas, 50% of the boarding fee will be required at reservation and is non-refundable.

I agree to the terms and conditions stated above.