All fields are required unless otherwise noted.

Customer Information
Pet's Name: (separate form for each pet, please)
Pet’s Species/breed:
Owner’s  Name:
Email Address:

Boarding Dates
Drop off Date:    Drop off Time:
Pick up Date:     Pick up Time

No dog pickups between 1:00pm and 2:30pm.

There is a half-day Daycare charge for dogs picked up between 2:30pm and 7:00 pm.

After 7:00pm an overnight charge will be incurred for cats and dogs.  If you pick up your pet after 7:00 pm,  arrangements must be made in advance.

Has your pet had a sleepover at Club Belly Rub within the past 6 months?    
Has your dog attended at least one day of daycare OR have an appointment for a temperament evaluation and test day?  

Feeding Information
How much food does your pet eat per meal?  How many meals?  At what times? 

What brand of food are you bringing?

How is the food served? (dry, additives, moistened, etc.)


Medical Information
Does your pet require any medication?  If yes, specify all details:
AM DosagDoes your pet have any known medical problems?  Specify.
Does your pet have any known allergies? Specify.

Veterinary Contact Info
Vet Name 
Address
Phone Numbers

Travel Information
Destination: 
Hotel or Contact   
Flight Info 

Emergency Local Contact Information
Emergency Contact 
Contact’s Phone 
Contact’s Address  
City, State, Zip 

Grooming
We offer a basic bath free of charge for all guests who stay more than 6 nights.  For an additional fee, Club Belly Rub offers grooming services for your dog during his/her sleepover. See Spa Services for details and rates. Would you like your dog to have a free bath (if your stay qualifies) or schedule Spa Services?


Is there anything else we should know that would help make your pet or our staff safer or more comfortable? (optional)