New Cat Clients - Luxury Unleashed LLC | Dog Boarding & Day Care In Havre

Luxury Unleashed New Client Cat Form

Thank you for your interest in boarding your cat! Our application is quite detailed, so please allow 15-20 minutes for completion. We STRONGLY recommend that you do this from a computer rather than your phone. This information helps us to be able to provide the very best care for your furry friend! Please complete and submit one application FOR EACH CAT, and we will be in touch. **After submitting the form, look for the verification page indicating that the form has been submitted successfully.

Name(Required)

First Last

Cell Phone(Required)

Name of Spouse/Partner

Spouse/Partner Cell Phone

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Do you live in the Havre area?(Required)

Yes, I live in Havre.

I am moving to Havre.

I am visiting from out of town.

I plan to travel to Havre to board my pet.

Do you text on your cell phone?(Required)

Yes I text.

No I do not text.

Home Phone (If you have one)

Email(Required)

Other than yourself, your spouse, or your vet, who would you trust with a life or death decision for your pet?(Required)

Relationship to Emergency Person:(Required)

Phone Number of Emergency Person:(Required)

How did you hear about us?(Required)

Google

I’ve been a client in the past.

Referred by a friend.

Referred by Robin at HL

Facebook

Booth at fair or another event.

From my veterinarian.

Other

Boarding Dates

Do you need to board your pet within the next 24 hours?(Required)

Yes

We need your vaccination records from your vet asap.(Required)

I will call my vet and have them either emailed (shannonheggem@gmail.com) or faxed (406) 879-4029.

I want to drop off on this date:(Required)

Which is a:(Required)

Please enter a two-hour window when you would like to drop the cat off, example 8-10 am (We have 24 hour drop-off and pickup)(Required)

I want to pick up on this date:(Required)

Which is a:(Required)

Please enter a two-hour window when you would like to pick up the cat, example 8-10 am (We have 24 hour drop-off and pickup)(Required)

IMPORTANT: We require that you bring your cat's litterbox (must be CLEAN upon arrival please), a NEW box of Tidy Cat Scoopable Litter, and also your cats food. Please make sure you bring these items to avoid being charged a surcharge. Initial below to indicate your compliance.(Required)

Cat Details

Do you have more than one cat who will be staying with us?(Required)

Yes

Please note that you must fill out a SEPARATE form for EACH pet; individual forms submitted for multiple pets will not be processed. This is for insurance purposes, so we really appreciate your compliance!(Required)

Got it.

Cat's name:(Required)

Have you ever boarded this cat before?(Required)

Yes

Have you boarded this cat with us within the previous twelve months?(Required)

Yes

STOP! You are in the wrong place! You need to make reservations! Please go back to home page and click the box on the right that says EXISTING CLIENTS: Make or change online reservations! Please DO NOT proceed with this form! Thank you!

Got it.

Approximately how many times per year do you think you will need to board this cat?(Required)

I usually have a friend/relative take care of my pet.

This will probably be the only time I’ll need to board my pet.

Less than 5 times per year.

5-10 times per year.

On an ongoing basis.

This cat is:

Short-haired

Long-haired

How old is your cat?(Required)

Please select:(Required)

Female Spayed

Female Not Spayed

Male Neutered

Male Not Neutered

Are you planning to:(Required)

Neuter him at some point.

Breed him.

Not sure.

We do not accept male cats who have not been neutered.

My cat is mostly:(Required)

an inside pet.

an outside pet.

My cat Is:(Required)

Box-trained & rarely if ever has accidents.

Box-trained but occasionally has accidents.

Mostly outside and is not really box-trained.

Box-trained but can be a sprayer in new places (male cats)!

Not really box-trained yet but is in training.

My cat:(Required)

Has all claws.

Has been de-clawed in the front.

Has been de-clawed on all four feet.

Approximate Weight:(Required)

Has your cat ever bitten anyone?(Required)

Yes

Please explain, in detail, the circumstances surrounding the bite:(Required)

Is your cat currently under vet care for a health issue or problem?(Required)

Yes

What is he/she being treated for?(Required)

Name of Your Current Veterinarian:(Required)

Veterinarian's Phone Number:(Required)

Does your cat require medication?(Required)

Yes

How Many Different Types of Medication Daily?(Required)

Just one medication.

Two different medications.

Three or more medications.

Please list each medication, what it is used to treat, the dosage, how many times to administer daily, and how you give it to the cat(in a piece of cheese, etc.):*(Required)

Does your cat have any health problems, allergies, or past injuries?(Required)

Yes

Please explain the medical condition, allergy, or injury:(Required)

Within the last week has this dog:(Required)

Been coughing or hacking

Had diarrhea or an upset stomach

Been scratching more than normal

Had a cut, scrape, puncture, or sore muscles, or been limping

Been treated for fleas or ticks? Or have you noticed any parasites or bugs on the pet?

Acted differently than normal? Lethargic, or low energy

My cat has been acting normally.

Please check all of the above which apply.

My cat shows aggression:(Required)

Around food.

Around other cats.

Around strangers.

Around children.

In his area/territorial.

When he is fearful.

Never.

Please check all above that apply.

Feeding

We are required to use our own food and water dishes, so please note that you will not need to bring these for your buddy’s stay with us.

What brand of food(s) do you feed this cat?(Required)

He eats:(Required)

Only dry food (kibble)

Dry food with some canned

Only canned food

I make homemade food for my pet.

How many times per day do you feed this cat?(Required)

Once Daily

Twice Daily

More than Twice Daily

Free range-I leave food out all the time, and the cat eats whenever he wants.

How much do you feed at each meal?(Required)

Is there anything else you would like us to know about feeding or meal times?

Fun Stuff

How about some extra fun time for your kitty while he stays with us? Each 60-minute play session in our Meow Lounge is just $5!(Required)

I would like to spoil my cat with 1 Meow Time daily (add’l $5 per day).

I would 2 Meow Times daily (add’l $10 per day).

No thank you.

Our feline friends LOVE our PURRING PAMPER PACKAGES! Perhaps your cat would like some extra pampering during his/her stay! Each package is $69, which includes all kitties who are in the same condo!(Required)

Comfort and Cuddle Package: This is a great option for first-time visitors or less-active guests who need a little extra TLC. $69

Super Playtime Cat Nip Package: Guests are treated to SIX SUPER PLAYTIMES and a relaxing massage session to soothe tired muscles. We top it off with a yummy homemade frozen salmon yogurt kitty treat. $69

Movie Night & Massage: That’s right, we’ll watch a movie with your kit cat, complete with yummy organic cat snacks AND a massage! $69

No thank you.

Vaccinations and Worming

Vaccination records must be submitted to us DIRECTLY FROM THE ADMINISTERING VETERINARIAN'S OFFICE: we cannot accept a faxed or emailed copy from the pet owner for insurance purposes. To avoid being charged a records-retrieval fee, you must have your veterinarian email a current copy of your vaccination records within 7 days of submitting this application. shannonheggem@gmail.com or fax it to (406) 479-4029.(Required)

I will have the records emailed within 7 days of submitting this application..

I need to have this pet’s vaccinations updated, and will have my veterinarian email the updated records when this has been done.

I will pay the extra $15.

For everyone's protection, ALL vaccinations must be administered AT LEAST SEVEN DAYS PRIOR to the boarding.(Required)

I understand this policy and will comply.

Please choose one:(Required)

I have my cat vaccinated by a veterinarian.

I buy the vaccine and vaccinate my cat myself.

need to have my cat’s vaccines updated.

I have my veterinarian check titers instead of vaccinating.

Exact date of last Rabies vaccination from a vet:(Required)

Exact date of last FVRCP vaccination from a vet:(Required)

Exact date of last Leukemia vaccination from a vet:(Required)

Have you had your cat wormed by a veterinarian within the last six months? Many people are unaware that their cats should be wormed on a regular basis. A quick call to your veterinarian will get you a one-time pill or some powder to mix in with his food! Easy-peasy! We mention this because your pet's ongoing health is important, and we care about our guests! We will follow-up with you to make sure this has been done prior to your cat's visit.(Required)

My cat has been wormed in the last six months by the vet. I will have the vet provide proof along with my vaccination records.

I will have my cat wormed, and will update you when it has been done.

Tell us more…

All of the guests who stay with us are special to their owners and very loved! We would love to know more about your furry friend! What would you like us to know about your buddy that you have not yet shared? We would love to know what makes him or her special to you!!

Legal

GENERAL TERMS: Luxury Unleashed LLC will exercise reasonable care for the safety of your pet and to keep the boarding premises safe and secure. Luxury Unleashed LLC's liability for any boarded pet will not exceed $25. Pet owner is solely responsible for any property damage or bodily injury inflicted by the boarded animal. Luxury Unleashed LLC cannot guarantee against accidents. We will not be liable for loss or damages to pet’s belongings.(Required)

I have read the above statement, and I AGREE

I have read the above statement, and I DON’T AGREE

VACCINATIONS/HEALTH: All animals must be current on vaccines for Rabies, FVRCP and Leukemia. The owner must provide to Luxury Unleashed LLC the veterinarian records on paper for these vaccines at least 48 hours prior to boarding. (Records may be emailed to shannonheggem@gmail.com or faxed to (406) 879-4029. All animals accepted for boarding must be of free of fleas and ticks; Owner will be charged a $100 fee for any animal that is dropped off with parasites. Owner hereby represents that this pet has not been exposed to Rabies, Feline Distemper, Feline Parvo, etc. within the last 30 days.(Required)

I have read the above statement and I AGREE.

I have read the above statement and I DON’T AGREE.

BOARDING REQUIREMENTS: Cats are to be dropped off in a hard-sided carrier or crate (collars and harnesses must be removed.) Cats are fed once or twice daily; 3 or more daily feedings will be charged out at $3 per feeding. Owners are to provide usual food and treats. Dry food is best in large, labeled Ziplock bags. Canned food will be given upon request (owner must provide). Owners may also bring treats and toys. All items brought in must be CLEAN. PLEASE do not bring your pet’s dishes, and please do not put any food in the enclosure or feed the pet when you drop him off.(Required)

I have read the above statement and I AGREE.

I have read the above statement and I DON’T AGREE.

MEDICATION & TREATMENT AUTHORIZATION: Prescription medications must be provided in the original container with the veterinarian’s Instructions, It will be administered as prescribed for a charge of $6 per dose charge. Over-the-counter meds may be given at a $6 per dose charge. Luxury Unleashed LLC is authorized by the owner to seek veterinary advice and care, including but not limited to emergency care, at their discretion and at the owner’s sole expense. Luxury Uleashed LLC will attempt to contact the owner before obtaining this care if possible, but this document serves as full authorization to obtain veterinary care for the pet at the owner’s expense, whether or not owner has been contacted.(Required)

I have read the above statement and I AGREE.

I have read the above statement and I DON’T AGREE.

FOOD and WATER DISHES- PLEASE do NOT bring your pet’s dishes, and please do not put any food in the enclosure or feed the pet when you drop him off. Please initial below.(Required)

PAYMENT TERMS: Owner agrees to pay current boarding price (as listed on website) and for all specialty services in advance. No cash refunds will be issued for any reason; boarding credit (valid for one year from issue) will be issued for cancellations with 24-hour notice. No credit will be issued for early returns or late departures. Access to pet will be denied and pet will not be released until all charges are paid in full.(Required)

I have read the above statement and I AGREE.

I have read the above statement and I DON’T AGREE.

I understand that I will be charged a DAILY RATE for boarding, NOT a nightly rate, like a hotel. I also understand that I must pay all fees in advance, and that I may not post date a check.(Required)

I agree.

I do not agree.

I understand that no one besides myself or my spouse/partner is allowed in the drop-off/pick-up lounge to access my pet(s) at any time. I hereby agree that I will not give access to ANYONE ELSE, including my children (not even adult children), relatives, employees, friends, neighbors, other Luxury Unleashed LLC clients, etc.(Required)

I agree.

I do not agree.

We continue to have an issue with this, and we are asking for your help…Our insurance does not allow children to be present in the kennel nor in the drop-off/pickup lounge at any time for liability reasons. We know this can be inconvenient, and that is not our intent…we just don't want anyone to get hurt! We kindly request that you not bring anyone under 18 with you for the tours and/or for drop-offs and pick-ups. If you arrive for a tour with anyone under 18, will we have no choice but to RESCHDULE YOUR TOUR for a different time. Please enter I Understand below so that we can count on your compliance.(Required)

This contract shall be legal and binding for one year from the following date, and will include any and all boarding during that period. This contract contains entire agreement, and shall be binding upon heirs, administrators, personal reps or assigns of either party. Any controversy arising from this agreement will be settled by arbitration according the Montana Arbitration Laws, with the expense of such paid by the pet owner, regardless of prevailing party. Today's date:(Required)

We take many photos of your pet(s) while he is with us, and these photos will be used for social media and marketing purposes solely at our discretion. We love sharing these photos with you, the owner as well. Please note that we retain the ownership and distribution rights to these photos. Please enter your initials below.(Required)

You should receive a confirmation email as soon as you submit this application. Sometimes technology fails…so, if you do not get the email, or you do not hear from us within a day, PLEASE send us an email to make sure we received the application! We appreciate all of the effort it takes to fill out this lengthy form…and we WILL respond for sure. Please type your initials below so we know that you have read this and understand!(Required)

ELECTRONIC SIGNATURE: The Electronic Signatures in Global and National Commerce Act (ESIGN) (Pub.L. 106-229, 14 Stat. 464, enacted June 30, 2000, 15 U.S.C. ch.96) is a United States federal law passed by the U.S. Congress to facilitate the use of electronic records and signatures in interstate and foreign commerce by ensuring the validity and legal effect of contracts entered into electronically. By entering my name below as an online electronic signature I understand that by doing this, I agree that this document has been signed and given the same legal status equivalent to a written signature.(Required)