subject_line
First Name
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Last Name
*
Street Address
*
Address Line 2
City
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State
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Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Washington DC
Zip Code
*
Phone Number
*
Email Address
*
Name,Breed and age of each pet.
*
Description of Meal please be detailed this is our feeding instruction sheet.
*
Is it ok to add to food if not eating:
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Chicken
Hamburger
Canned food
Do not add any thing extra
Does your pet have food Allergies
*
Yes
no
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.
Extra options
Permitted for group play at least 1 session per day no extra charge
Must go out alone (not dog friendly)
One on one play time 15-20 mins $15
Extra group play session $10
One on One time in our living room 20 mins $15
One-on-one walk around our pond $15 per walk
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Coco oil/Honey treat ball $2 each
1/4 cup fresh chicken added to their food $5
Please indicate how many of each extra item you would like
Please indicate how many of each extra item you would like
Boarding options
*
all indoor- 4x8 Single occupancy $30 per day
all indoor-4x8 Double occupancy $45 per day
all indoor-4x8 Triple occupancy $55 per day
all indoor-6x6 Single occupancy $50 per day
all indoor-6x6 Double occupancy $60 per day
all indoor-6x6 Triple occupancy $70 per day
INDOOR/OUTDOOR KENNELS
Indoor/outdoor-4X6/4X10 Single occupancy $40 per day
Indoor/outdoor-4x6/4x10 Double occupancy $50 per day
Indoor/outdoor-4x6/4x10 Triple occupancy $60 per day
Indoor/outdoor-6x6/6x10 Single occupancy $60 per day
Indoor/outdoor-6x6/6x10 Double occupancy $70 per day
Indoor/outdoor-6x6/6x10 Triple occupancy $80 per day
Date of drop off at our location
*
+
Request Sitter pick up off from our home
+
Estimated time of Drop off will be confirm when your reservation is booked. ALL DROP OFFS ARE DONE BY APPOINTMENT BETWEEN 8AM-12PM(CLOSED 12-4) 4PM-7PM.
*
8AM-12PM (Full day charge)
4PM- 7PM (1/2 day charge)
Exact time of drop off requested
Date of Pick up from our location
*
+
Request Sitter Drop off to home (only if your pet needs a ride home)
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Estimated time of Pick up will be confirm when your reservation is booked. ALL PICK UPS ARE DONE BY APPOINTMENT ONLY BETWEEN 8AM-12PM(CLOSED 12-4)4PM-7PM.
*
8AM-12pm (1/2 charge)
4PM- 7PM (Full day Charge)
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.
While traveling you can be reached:
*
Phone call
text
email
Other
please click all that apply
Phone call
text
email
Other
Other
Other Contact information
Name
Number
Regular vet
Name
Number
Emergency vet
Name
Number
Emergency Contact
Name
Number
I authorize Tri State Pet Care to transport my pet to the vet if needed
*
yes
no
contact before transport
contact before treatment
other
other
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)
GROOMS, BATH AND NAIL TRIMS
(All grooming services are billed at the time of pick up, prices are subject to change due to the condition of your pet)
small dog Bath under 40 lbs $25
Large dog bath over 40 lbs $30
Nail Trim additional charge of $12
Nail Grinding $15
Small dog groom while boarding under 30 lbs (includes wash, nails and blow dry) $40-50
Small Dog Cut +10
Small dog De-shed +10
Medium dog groom while boarding 30-50 lbs ( Include wash ,nails and blow dry) $50-60
Medium dog cut +15
Medium dog de-shed +15
Large dog Groom while boarding over 50 lbs (includes bath, nails and blow out) $55-70
Large Dog Cut +20
Large Dog De-shed +20
fragrance
Any extra notes for groomer:
Any extra notes for groomer:
How did you hear about us?
*
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,(12-4 CLOSED) 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!