Home
Services
Pricing & Rules
Furry Family
Contact
Intake Forms
Home
Services
Pricing & Rules
Furry Family
Contact
Intake Forms
Are you reserving services for more than one pet?
Yes
No
Pet's Name
*
Parent's Name
*
First Name
Last Name
Email Address
*
Address
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Message
*
Phone
(###)
###
####
Mobile
(###)
###
####
Emergency Contact
First Name
Last Name
Emergency Phone
(###)
###
####
Veterinarian
Vet Contact
(###)
###
####
Services Requested
Day Care
Evening Care
Concierge Services
Pet & House Sitting
Walks, Hikes or Exercise
Happy Hours & Group Events
Birthday Pawties
Service Dates Requested
Gender
Female
Male
Fixed?
None
Spayed
Neutered
Age
Weight
Breed
Color
Birthday
MM
DD
YYYY
Personality Description
Is your pet aggressive towards: food, toys, humans, other small dogs, other large dogs? Please explain.
Feeding Schedule
Allergies/Medications
Do you consent to have photos of your pet inside our facility used in either our social media posts or on our website?
Yes
No
I acknowledge that I am allowing my pets to be in the care of PoshPaws Pet Care at the above stated dates, which includes their having access to my home.
I acknowledge that a deposit is required for all stays above three days and payment in full will be made at dropoff.
I acknowledge that PoshPaws Pet Care is a cage-free facility. I accept the risks involved and agree that PoshPaws Pet Care is not liable for any injuries or illnesses resulting during my dog's visit.
I hereby declare to PoshPaws Pet Care that I am the legal owner of my dog; that my dog has been vaccinated as indicated by records presented; that my dog is currently and properly licensed; that my dog is not aggressive.
We reserve the right to refuse a visit if your dog arrives without the previous conditions met. This type of environment may not be suitable for all dogs and we reserve the right not to admit dogs based on temperament and level of sociability at any time. Dogs must enter and exit on a leash. By signing this form, you or your representative(s) hold PoshPaws Pet Care free and harmless from and against any and all claims, costs, expenses, lawsuits, liabilities, penalties, forfeitures, losses and expenses, reasonable attorneys' fees, court costs (including, without limitation, reasonable expert witnesses’ fees), judgments, administrative rulings or orders, fines, and/or costs, in law or equity, and of every kind and nature whatsoever, actually or reasonably incurred, which arises from, or caused or resulting, in whole or in part, directly or indirectly, arising out of or relating to liable for any injuries to your dog.
By signing this form, you acknowledge that you understand and accept the terms and conditions set forth by this agreement. I have read the above requirements and hold harmless documents in its entirety and agree to comply.
Option One
Option Two
Signature:
By typing your name here, you acknowledge all of the above. Your typed name is your signature.
Thank you!