Owner's Name *

First Name

Last Name

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone *

(###)

###

####

Spayed

Neutered

Date of Birth *

MM

DD

YYYY

Exercise Options *

Play time with others

Play time alone

No play time

Extra Activities

Which activities would you like to add to your pet's stay? (Check boxes)

Royal Package (Cat Only)

Spa Package (Dog Only)

30 Minute Discovery Walk (Dog Only)

TLC

Kong Time (Dog Only)

Toe Nail Trim

Exit Bath (Dog Only)

Ear Cleaning (Dog Only)

Cosmic Mice (Cat Only)

Kitty Kaviar (Cat Only)

Scratching Pad (Cat Only)

Tooth Brushing

Date of Arrival *

MM

DD

YYYY

Date of Departure *

MM

DD

YYYY

Please send a copy of your pets Vaccination Records to info@estesparkpetlodge.com. Bordetella, Rabies and Distemper are required. *

I understand that my pet is required to have current vacation records and will provide these records prior to arrival.