Happy Tails Pet Lodge

Grooming at Happy Tails

Kearney, Nebraska

Welcome to Happy Tails Pet Lodge!!
Lodging/Day Care Guest Register

     Thank you for giving us the opportunity to care for your pet!  We will be happy to answer any questions you have about your pet's care.  To help us be "perfect hosts," and so we can follow your pet's routine as closely as possible, please fill in this for completely.  We thank you!

Date:  / /

Owner:       Pet's Name: 

Spouse:      Children: 

Address:      City/State/Zip: 

Home Phone:  () -   Cell#:  ()   -     e-mail: 

Owner's Work #:     Spouse's Work #: 

Emergency Contact Name:       Phone #: 

Name of person authorized to pick up your pet on your behalf: 

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Please tell us about your pet:  Date of Birth     Male    Female     Spayed/Neutered
          Breed       Color       Unique Markings
          What does she/he eat?
                          How much?     When?
          Medication to be administered?  Yes    No    (Must be in original container with directions)
                          Name of medication
          Special concerns?  afraid of storms     escape artist     fence climber/fence jumper   gate opener   may bite  
                    other
          Your pet's favorite things (like tickle spots, rawhides, blanket)
          Medical Problems?  Physical disabilities?  Allergies? 
          Your pet's Veterinarian   Phone number:

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Please select on of the following levels of care for your pet:
1.  TLC (Tender Loving Care):  Our basic level of care, received by each of our guests.  Includes three walks each day (before breakfast, after lunch , before bedtime), and, with your permissions, one of Dr. Neil's famous pancakes on Sunday morning.  Daily fee is base upon your pet's weight and species.
2.  TLC Plus:  Please indicate # of sessions requested each day: Playtime  Playschool**
          **NOTE:  All Playschool participants over the age of 6 months must be spayed or neutered..

Having checked  #2  above, please indicate your specific wishes:
          Playtime choices:     lap time (includes tummy rubs, snuggles, light brushing)    laser light chase/feather tickle  
                Obedience practice    Frisbee/ball toss    adventure trail    other
          Sunday morning pancake   yes   no.     Bedtime snack  yes   no.

Other services available while you pet is vacationing at Happy Tails:
          Our Grooming Salon (by appointment).  Styling    Brush & bath.    Nail trim.    Flea & tick treatment.
          Our on-staff Veterinarians can provide veterinary services including vaccinations, wellness exams, heartworm testing , etc.

Please note:  For everyone's protection, your pet's vaccinations and deworming must be current, and must have been administered by a Veterinarian.   We require a written copy from your Veterinarian of your pet's vaccination record, including the date(s) due for -Canine rabies, DHLP, parvo, corona, bordetella (within the past 6 months), deworming - -Feline rabies, DRCC, feline leukemia, variant calici, deworming.

I understand that all services must be paid in full in advance or at time of pick up.
Preferred method of payment:  cash   check (Driver's license required)   MC/VISA/Discover   Care Credit

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Please initial each item:

1.  Owner specifically represents that he or she is the sole owner of the pet or the agent of the owner with the owner's permission to board the pet.
2.  Owner agrees that prior arrangements must be made, and there will be an additional charge of $20.00 for pets admitted or discharged during other than regular office hours.
3.  Owner authorizes Happy Tails Pet Lodge (herein after referred to as HTPL) to allow owner's dog(s) to engage in social play with other dogs in Playschool.  In doing so, owner understands owner's dog(s) may become injured while interacting with other dogs.  Owner also understands that HTPL will supervise all group play and will use reasonable care to ensure that no such injuries result.  However, in the event that an injury does occur to owner's dog(s) during supervised group play, owner agrees to hold HTPL harmless from damages resulting from such injury, and agrees to pay all Veterinarian and transportation charges required to properly treat owner's dog(s) for such injury.  Owner also understands that if owner's dog tries to bite a staff member or another dog, owner's dog will not be allowed to participate in Playschool for the remainder of the pet's stay or in the future.
4.   Owner authorizes HTPL to board the following pets together and requests that they share a kennel / run / condo.
          1. 2. 3. 4.
5.  Owner agrees to pay for all charges incurred by owner.  Owner understands that payment in full will be made by cash, check, Mastercard, Visa, Discover or Care Credit in advance or at the time of pickup.
6.   Owner understands that pets observed to have fleas or ticks will be treated at the owner's expense.
7.  Owner authorizes HTPL to transport the pet as necessary in order to receive medical treatment or other services as requested by the owner.
8.   HTPL shall exercise reasonable care for the pet delivered by the owner to HTPL for boarding.  It is expressly agreed by owner and HTPL that HTPL's liability shall in no event exceed the lesser of the current chattel value of a pet of the same species or the sum of $200.00 per pet boarded.  The owner further agrees to be solely responsible for any and all acts or behavior of said pet still it is n the care of HTPL.
9.   Owner specifically represents to HTPL that the pet has not been expose to rabies or distemper within a thirty day period prior to boarding.
10.  If a pet becomes ill (including diarrhea, vomiting or coughing), or otherwise requires veterinary care, HTPL will attempt to notify the owner immediately, and will contact the pet's veterinarian.  If the pet's veterinarian is not available, or if the owner has not designated a veterinarian, HTPL may engage the services of its veterinarian on-call, or administer medicine or give other requisite attention to the pet, and the expenses thereof shall be paid by the pet's owner.
11.  Owner agrees to pay for medical care required as a result of owner's pet ingesting or in any way being injures by personal items which owner requests by place in pet's kennel / run / condo.  HTPL is not responsible for any personal items brought in for the pet.
12.  Any pet left for 10 days beyond the agreed date of pickup may be disposed of at the discretion of HTPL.  Any cost incurred is the responsibility of the pet's owner.

I have read the above statements, and agree to the conditions named therein.

Owner:     Today's Date:

Please, your pet will be really excited when it arrives home.  Do not let it eat or drink excessively.  Please wait at least on hour before giving it a small portion of food or water to prevent vomiting or diarrhea!  Thank you!

We will keep a copy of your pet's register on file at Happy Tails Pet Lodge.  Should it need to be updated, or information changed, please notify us.

Thank you for placing you trust and confidence in Happy Tails Pet Lodge.  We guarantee lots of TLC!

Happy Tails Pet Lodge
Grooming at Happy Tails
6920  30th  Avenue
Kearney, Nebraska 68848
Happy Tails Pet Lodge:  308-237-1630   FAX:  308-237-3960
Grooming at Happy Tails:   308-237-0673