Boarding Request

First Name *

Last Name *

Street Address *

Address Line 2

City *

State *

Zip Code *

Phone Number *

Email Address *

How did you hear about us? *

While traveling you can be reached by: *

phone call

Text

other other

Name and number of emerency contact while traveling *

Namber and number of current vet and preferred emerency vet

I authorize Tri State Pet Care to transport my pet to the vet if needed *

Amount of vet care not to exceed $ without contact

I verify my pets are upto date on the following vaccines *

Rabies

DHPP

Bordetella( yearly vaccine)

Boarding options *

Name,Breed and age of each pet *

Date of Drop off *

Estimated time of Drop off will be confirm when your reservation is booked. ALL DROP OFFS ARE DONE BY APPOINTMENT BETWEEN 8AM-12PM,4PM-7PM. *

Exact time of drop off requested

Date of Pick up *

Estimated time of Pick up will be confirm when your reservation is booked. ALL PICK UPS ARE DONE BY APPOINTMENT ONLY BETWEEN 8AM-12PM,4PM-7PM. *

Exact time of pick up requested if this is unknown please update us on pick up time morning of or day before to ensure eveyone is ready.

Description of Meal please be detailed this is our feeding instruction sheet. *

Please describe if your pet(s) is on medication and how often medication is needed *

Please list any additional information we may need to know.

You may upload Vet records here or bring at drop off.

In order to remain flexible with drop offs/pick ups between the hours of 8am12pm, 4-7pm. You must schedule a drop off and pick up time before dropping off and picking up. You will received a confirmation of receipt of this request and at that point you may make an appointment. Thank you and please contact us with any questions. Thanks!