AMH Preliminary Check In

You must currently be a client or have filled out our New Client Information Form before using this Preliminary Boarding Form.

Please allow 24 business hour for processing of this form. If you have not received a confirmation phone call or email within 24 hours, please call the office at: 239-513-0213.

* - required


	General Information

*Owner's Last Name:

*Owner's First Name:

*Pet's Name:

*Current Phone Number:

- - x

*Cell Phone Number:

- - x

Alternate Cell Phone
Number:

- - x

*Date of Check-In:

/ /

*Date of Check-Out:

/ /	No check-ins or check-outs after 12 noon Saturdays, all day Sundays and Holidays.

*Where will you be
staying?:

Phone Number of
where you are
staying:

- - x

If you have an international phone number, please provide it at check in.

Email Address:

Only required for owners on a cruise or traveling internationally.

*Local Emergency
Contact Name:

*Local Emergency
Contact Phone:

- - x


	About Your Pet

*What type of flea
preventative is your
pet using:

Date of Last
Application of Flea
Preventative:

/ /

*What type of
heartworm prevention
is your pet using:

Date of Last Dose of
Heartworm Prevention:

/ /

Would you like your
pet to have a bath
before going home:

If yes, what day
would you like them
bathed:

/ /	We recommend the morning of departure.

Does your pet have
long hair?:

Can your pet use our
bedding?:

If they are chewers, there is a $33.00 fee for destroyed bedding. Please speak to our receptionist or kennel manager for other options.

*Has your pet had any
coughing, sneezing,
vomiting, or
diarrhea recently:

*Has your pet or home
had any problems
with fleas or ticks
recently:

Is there anything
special we should
know about your pet
(allergies,
preferences, dog
aggression, medical
conditions):

(chars left: 100)


	Feeding Instructions

Does your pet eat
dry food?:

Food Choice (Dry):

How many MEASURED
cups in the AM:

How many MEASURED
cups in the PM:

Does your pet eat
canned food:

Food Choice (Wet):

How much in the AM:

How much in the PM:

Does your pet have
any food allergies:

Can your pet have
treats (Milk Bones
and Pup-peroni):


	Medication

Medication 1:

Form of Medication 1:

Dosage 1:

(chars left: 100)

Let us know how much is to be given, route of administration (by mouth, left eye, right ear, right elbow, etc.) and how many time per day.

Medication 2:

Form of Medication 2:

Dosage 2:

(chars left: 100)

Let us know how much is to be given, route of administration (by mouth, left eye, right ear, right elbow, etc.) and how many time per day.

Medication 3:

Form of Medication 3:

Dosage 3:

(chars left: 100)

Let us know how much is to be given, route of administration (by mouth, left eye, right ear, right elbow, etc.) and how many time per day.

Medication 4:

Form of Medication 4:

Dosage 4:

(chars left: 100)

Let us know how much is to be given, route of administration (by mouth, left eye, right ear, right elbow, etc.) and how many time per day.


	Extra Services

Services I Would
Like:

Our Services:

Services I Would Like:

Other:

Would you like
private play times
for your pet:

Any special
instructions not
covered in this form:

(chars left: 100)

Form Generated by FORMgen