Country Lane Pet Resort

Country Lane Pet Resort

Cincinnati's Resort For Your Pet

Please familiarize yourself with our cancellation policy.

RESERVATION FORM

Existing clients need only fill in the areas that are in bold format if all information on file is up to date

**Client Information**

First Name:
Last Name:
Street Address:
City:
State:
Zip Code:
Home Phone Number:
Work Phone Number:
Cell Phone Number:
E-mail Address:
Emergency Contact Name:
Emergency Phone Number:

Guest Information
Guest's Name (up to 3) (More than 3 guests please contact Country Lane Pet Resort):
Species:	Dog Cat
Breed:
Size of guest:
	(Please type small, medium or large) Small = less than 25 pounds Medium = 25-50 pounds Large = 50 or greater pounds
Sex:	Male Female Neutered Spayed
Color:
Age:
Veterinarian:
Can Guests be boarded together:	Yes No
Names of guests to be boarded together:

Vaccination Requirements
Country Lane requires that our guests are current on three vaccinations, which include Rabies, DHLP (Parvo/distemper), and Bordetella
Vaccinations Current:	Yes No

Special Medication Requirements
Name:
Quantity:
Frequency:
Additional Instructions:

Exit Bath Yes No

Requested Dates
Requested Arrival Date:
Drop Off Time:	AM PM
Requested Departure Date:
Pick Up Time:	AM PM

Additional Comments
Note: Drop-Off and Pick-Up Hours are:
Monday, Wednesday, Thursday, Friday	8:00AM - 11:00AM or 5:00PM - 7:30PM
Tuesday and Saturday	8:00AM - 11:00AM
Sunday	4:00PM - 6:00 PM

We appreciate your reservation request at Country Lane. You will be contacted by phone within 48 hours of your request to confirm your reservation. Remember you do not have a reservation until one of our staff has contacted you. Country Lane Pet Resort cancellation policy requires a 7 day advance notice. Any cancellations within 7 days of a scheduled visit are subject to a cancellation fee. Details about Country Lane Pet Resort's cancellation policy are available by clicking here. By submitting this reservation, I agree to this cancellation policy.