Camper Boarding Form

Completing this form does not guarantee a reservation, you must call us to schedule a stay.*

I have read and understand.

Boarding Information

Name

First Last

Email

Pet Name*

Breed/Color*

Age/Date of Birth*

Sex*

Male Neutered
Male Intact
Female Spayed
Female Intact

Check-in Date*

Check-out Date*

All campers MUST be current on Rabies, Distemper, annual Bordetella (Kennel Cough) and Canine Influenza (CIV) vaccinations at time of check-in. All vaccines should be given at least 1 week prior to check-in to ensure effectiveness. All canine campers must have passed an internal parasite screen (fecal test) within the last six months. All requirements must be valid through the camper’s scheduled check-out date. Please provide the name and number of your primary veterinarian.*

Documentation of vaccinations & labwork performed at another veterinary hospital or pet care facility must be provided at (or prior to) check-in.

I have read and understand

For campers who are patients of Mountain Parks Veterinary Hospital, documentation does not need to be provided separately. In all other cases, it is the owner’s responsibility to contact their veterinarian and obtain the necessary documentation.*

I have read and understand

Any camper that does not provide documentation of Camper Requirements at (or prior to) check-in will be vaccinated and/or have an Internal Parasite Screen performed by our veterinary staff at Mountain Parks Veterinary Hospital at the owner’s expense. The pet will be in isolation until the Hospital staff is available to perform needed vaccines and/or tests.*

I have read and understand

Prior to vaccinations being administered, a complete physical examination will be performed by the veterinarian on duty at the owner’s expense. For campers who are patients of Mountain Parks Veterinary Hospital, the physical examination will be waived if the camper has been seen by our veterinary staff for a complete exam within the last five (5) months.*

I have read and understand

CHECK-IN

A Mountain Parks staff member, along with the client, will note any obvious illnesses and/or injuries at check-in time.

EYES (no
EARS (free of debris, not shaking head)
NOSE (no nasal)
SKIN / COAT (no cuts, rashes, or hotspots)
LIMB USE (no limping)

No redness or discharge?

Free of debris, not shaking head?

No nasal?

No cuts, rashes, or hotspots?

No limping?

MEALS: When to feed your pet?

Morning Only
Evening Only
Morning and Evening

What would you like us to feed them?

Camp Provided Food (for a charge of $2 per meal)
Personal Pet Food (must be in sealed plastic container)

Brand Name & How Long Given

Amount to feed at each feeding*

Measuring cup (if not indicated, will feed based on weight)

TREATS*

I do authorize my pet to have treats provided by Mountain Parks
I do not authorize my pet to have treats provided by Mountain Parks

Additional feeding instructions

ACCOMODATIONS: Do you authorize your pet to board overnight with another camper from your family?*

I DO
I DO NOT
NOT APPLICABLE

PLEASE NOTE: Camp Staff may separate Campers if in their discretion there is a health or safety issue of any or all Campers.

If yes, please indicate which Camper they can board with.

Any personal items?

The following personal items (that have permanent identification) are being left with . Please note that we do not take responsibility for bedding or personal toys left with us.

BATHING: Campers who stay with us 7 or more nights are offered a half-price bath. All other campers may be bathed at a discounted rate based on size and length / thickness of coat.

Bath
No Bath

Does your pet have any current or ongoing medical conditions, including allergies or recent surgeries.*

Yes
No

CURRENT MEDICAL CONDITIONS (including chronic illness, recent injuries or surgeries, and allergies)

Does your pet require medications and/or nutritional supplements to be administered during this stay.*

Yes
No

If yes, please list all medications (must be in original packaging), dosage, and when to administer it. ALL medications, including nutritional supplements, must be provided in original packaging. Prescription medications must include prescribing veterinarian’s instructions. Please be aware that prior approval is required from our veterinary staff and there will be a charge of $2 per medicine administration. Please also list any additional instructions here.*

OUTDOOR EXERCISE & GROUP PLAY: Any overnight Camper who meets our additional camper requirements for group play may participate in our Adventure Camp where they will be in the supervised play yard with other canine campers. Participation in group play means my pet will be interacting with other dogs. All campers are screened before enrollment in group play and will be excluded for aggressive or threatening behavior towards people or other dogs. Even with the pre-screening, there are times in this type of group play environment when quarrels can arise. Mountain Parks Veterinary Hospital cannot be held responsible for any injuries that may occur while my pet is participating in group play. Should a situation arise where my pet is directly responsible for any injuries to other campers, you may be held financially responsible for charges incurred to provide medical treatment. Overnight campers are also offered individual (or with “siblings”), unsupervised, free play time in our exercise yards with 6’ fences throughout their stay. Be aware that we do not recommend unsupervised play for campers that have a tendency to jump over or crawl under fences, eat rocks or twigs, or have other behaviors which require supervision. By authorizing group play, I certify that my pet meets the additional camper requirements for group play, is non-aggressive towards people or other dogs, and is spayed/neutered if over 6 months of age.*

I do authorize my pet to participate in group play at Adventure Camp
I do not authorize unsupervized play time for my pet in our exercise yards.

IMPORTANT! I understand and agree that all charges incurred during my pets stay at Mountain Parks Veterinary Hospital, Adventure Camp & Pet Lodge are due at time of check-out. Current Overnight Lodging Pricing and applicable policies are available on our website at www.mountainparksvet.com. I further understand that my pet will not receive 24 hour care and we cannot provide care to those animals requiring 24 hour medical care or supervision. In the case the Facility is full or the need arises, I give permission for my pet to be housed in a crate. If my pet becomes ill or injured, the staff will attempt to contact the owner, however, since the pet is being left in Mountain Parks’ care, I hereby authorize Mountain Parks Veterinary Hospital’s veterinarian to examine, prescribe for, or treat my pet if a medical situation should arise, including if deemed medically appropriate, euthanasia. In the event medical attention is required outside of the hospital’s regular business hours, I understand that my pet may be transported to an emergency hospital of the hospital’s selection. In the unlikely event that your pet should pass away the remains will be held until we receive instructions from you. I assume responsibility for all charges incurred in the care of my pet, including those related to transport and treatment at another medical facility. I also understand that these charges will be paid at the time of my pets discharge and that a deposit may be required for boarding. In case of nonpayment, I understand that finance charges will be assessed and I am responsible for any fees required to collect payment. I have read the foregoing, understand what it says, and agree.*

I have read the foregoing, understand what it says, and agree.

Do you give permission for products not labeled for use on Pets to be administered. For example Peanut Butter, Cheese, Benadryl.*

I give permission
I do not give permission

Digital Signature*

Today's Date*

Your Contact Phone*

Will you be reachable?*

Will there be a time difference in your destination?*

If we are unable to reach you, who should we call in regards to your pet’s treatment?*

Boarding Information

Contact Us

Hours

Camp Check-In

Lodge Check-In