New Client Introduction

"First visit" form

Intake Questionare

Please complete the following information and agreement. If you have more than one furry friend, please complete one questionnaire per feline. If you are a repeat client, we will have a questionnaire in your folder on the computer, therefore, you will need to update information only. Please return via email, snail mail (USPS), or bring with you at check in.

Please complete the following information. If you have more than TWO furry friends, please complete a SECOND form. This form is "one and done," unless there are updates between stays.

OWNER INFORMATION

GUARDIAN INFORMATION

Name

Phone

Email

Full Address

EMERGENCY CONTACT DETAILS

EMERGENCY CONTACT DETAILS

Name

Phone

Email

Relationship to Self:

BOARDING INFORMATION

BOARDING INFORMATION

Start Date

End Date

Condo size (4 foot or 6 foot)

PET INFORMATION #1

PET INFORMATION #1

Name

Gender

Age

Color/Markings

Allergies

PET INFORMATION #2

PET INFORMATION #2

Name

Gender

Age

Color/Markings

Allergies

Is/Are your furry friend(s) afraid of anything in particular, please state (ie. vacuum, etc.)

Feeding Instructions

Medications List

Instructions (dose, frequency, how given)

Any current illnesses? Please elaborate

Special litter box instructions

Do you have pet insurance?

Yes

No

If yes, policy name and number

*** VETERINARIAN INFORMATION *** (See Veterinarian Release)

Name of Dr./Clinic

Phone

Email

Clinic Address

Is your pet microchipped?

Any other information we should know?

AGREEMENT, VET RELEASE AND PHOTO/SOCIAL RELEASE DOCUMENTS

Please click on the links below, complete and return to the Purrfect Inn if you are a first time client.

AGREEMENT

VET RELEASE

PHOTO/SOCIAL RELEASE