"*" indicates required fields

Name
Spouse
Address
Where did you hear about Hilltop Dog Hotel?

Payment is required at the time services are rendered
Pet Information (all pets within household)
Dog Name
Breed
Color
DOB
Sex
Spayed/Neutered?
 

Current Veterinarian Clinic:

If we take a picture of your pet(s) may we post it on social media?

We must have a copy of the previous vaccination history from a licensed veterinarian. Each client is responsible for providing vaccination records either by fax, email or bringing a hard copy to Hilltop Dog Hotel prior to pet drop off for boarding, grooming, etc.

If records are not received vaccines will be given.

BORDETELLA VACCINE IS REQUIRED AT RHAH EVERY 6 MONTHS.

Currently on Medication:
The undersigned affirms the information provided above is correct and agrees to all conditions as stated in this document:
MM slash DD slash YYYY
This field is for validation purposes and should be left unchanged.