Cedar Run Pet Lodge (Please print and complete. Some computers require copy/paste to word)

"Where your pet comes first."

Pet’s Name: (Nicknames) __________________________________________________

Owner’s Name: __________________________________________________________

Address: __________________________________ E-mail Address: _______________

Home Phone: ______________________________ Cell Phone: ___________________

Emergency Contact & Authorized Guardian

Name: _________________________________________________________________

Home Phone: ______________________________ Cell Phone: ___________________

Veterinarian Information

Vet/ Clinic: ________________________________

Address: __________________________________Office Phone:__________________

HERE AT THE LODGE WE BELIEVE YOUR PET’S WELFARE IS OUR PRIORITY, THEREFORE WE WILL PROVIDE REASONABLE CARE AT ALL TIMES. In case of emergency or illness, we will promptly bring your pet to a veterinarian. You will be responsible for all charges for your pet’s well being.

Please note: All pet’s vaccination records need to be brought to our office during check-in.  Payment due upon pick-up. Cash only at this time.

Please sign below for authorization.

Signature: _____________________________________ Date: ____________________

If you would like your dog to have a playmate during his/ her stay please sign below.  We only mix dogs in a very small group if there is another compatible guest.

Signature:______________________________________ Date:____________________

MY DOG

Name:____________________________________ Breed:________________________

Sex:__________spayed/neutered Age:_______ Weight (approx):___________________

Color and markings:________________________ Eye color:______________________

Dog collar (color):_______________________ ID tag/or microchip#_______________

Health Concerns/Medications:_____________________________________________

Behavior Notes:__________________________________________________________

Habits:___________________________________ Aggression:____________________

Afraid of thunder: yes/no    What direction would you give us for that event?

Favorites

Favorite food (how much & how often):_______________________________________

Way or place to be petted: _________________________________________________

Treats allowed: yes/no

Tartar Busters (all natural cow kneebones): yes/no $2.50 @

Kongs: yes/no    peanut butter/cheese whiz (complimentary)