CLIENT RESERVATION FORM:
NAME:
ADDRESS:
HOME PH#:
WORK PH#:
CELL PH#:
EMAIL ADDRESS:
BELOW: Please list the cats that you will be boarding. Include their name, sex, coloring & noteworthy behavior.  
CAT #1:
CAT #2:
CAT #3:
CAT #4:
MEDICAL ISSUES - Please list below any medical conditions, medications, specific instructions & for which cat
administration will be required
SELECT
ARRIVAL DATE
& TIME ----->
I understand you require
specific appointments for
all arrivals & departures.  
Should I need to change
my scheduled time I will
call the office.  Should I
be more than 15 minutes
late I understand that
there may not be an
appointment available &
I'll need to reschedule.
There are no Saturday
afternoon or Sunday
appointments as our office
is closed to the public at
that time - but don't worry -
we're still here for our 'guests'
<---check box I
have read & agree to
above statement
SELECT
DEPARTURE
DATE &
TIME ----->
Any cat who exhibits signs of respiratory illness (runny eyes, nose, sneezing, coughing or wheezing) will
NOT be admitted without a vet's written explanation of health issues (dental problems, asthma, etc.)  For
obvious reasons we can not expose our boarders to possible viral infections.  
SELECT ONE ----->
You must provide proof of up-to-date vaccinations (Rabies & Distemper) either prior to or at check-in.  
This requirement is for the safety & health of all our boarders.  Should you choose to fax or email your
paperwork you will receive a call confirming receipt.  If you don't get a call, we did not receive your vaccinations &
you'll need to bring them with you.
SELECT ONE ----->
Please read the below statement & check the accept box below:

CONSENT FORM TO SEEK VETERINARY CARE:
As owner or guardian I give my full permission for Captain Kitt's or one of it's agents to seek medical care should my
cat(s) require attention/treatment/medication for any and all medical emergencies that may arise during their stay or
any future stays at Captain Kitt's.  Captain Kitt's or one of it's agents agrees to make all attempts to contact me and
keep me abreast of any medical situation that may arise during their stay prior to and after seeking medical care.

I give Captain Kitt's and it's agents permission to transport my cat(s) to a certified vet of their choice, should my vet
be located outside a 10mile radius of their boarding facility.  I further agree to reimburse chosen vet clinic for all
expenses incurred for medical treatment(s) not to exceed $500.00.  If treatment cost is expected to exceed this
amount, I will fax or have my emergency contact sign a waiver if I choose to continue treatment.  

Every attempt will be made to keep me informed of any issues as they unfold.  Clicking "accept" below as my choice
in lieu of an ink signature confirms & binds the above statement as being true & agreed upon.
ACCEPT - Yes you have my full consent & permission (I may choose to sign a waiver for
older/sick cats to be euthanized at my own discretion & will speak with you about that
prior to boarding)
SELECT ONE ----->
I DECLINE - I will make arrangements to board elsewhere
Please consult the Rate Page for size & position information
(click here to open another window to Rates)

Choosing a suite does not mean it will be available for your
reservation period.  Expect a call/email from us confirming that
your selection is available.
SELECT ONE---->
I'd like to add/include the services/products that are checked below to my final balance due at the time of departure
(or skip this portion & scroll to the bottom to send this form)
MASSAGE - 10 MINUTES OF LIGHT
TISSUE MASSAGE.  Shoulders, hips,
limbs & head, as allowed by your kitty   
  :)  at right specify which cat & number
of massage sessions, $5.00 per
massage.
PRIVATE FISH BOWL - Gold
fish to watch that's all kitties'
to monopolize.  Fish is
placed in a plastic, square
tank with fitted top for safety!
 Entertainment kitty style!  
$3.00 per day.  see box to
right & fill in number of days
required.
WHEAT GRASS TRAY - minimum
number of days for this feature: four

Aids in digestion,m many cats love
bringing the outdoors inside & they
graze like cows!  Jot down # of
days/trays to the right.  $3.00 per day
each.
DIGITAL VOICE MESSAGES
- played min. of 3xs per day
from owners own CD for the
listening pleasure of kitty.  
Please, no loud high pitched
screaming!! (other cats will
be listening too) $2.00 per
day (note how many days
you'd like us to play your CD)
BRUSH OUTS with wire bristled
brushes.  As frequently as you'd like.  
Fill out how many brushouts you'd like
& for which cat(s) to the right.  $2.00
per brush out

note:  we're not professional groomers
& brushouts are meant to be 'upkeep'
or for the pleasure of the cat & not to
detangle matted cats.
How did you hear about us?
Select one ------->
<---Check Box:  I understand that filling out a reservation request form does not
guarantee my reservation has been accepted.  If I do not get a confirmation call within 1 business
day, I will call the office to insure my request has been received.  No reservations are processed
after hours/weekends.
<--Check Box:  I understand that a 25% non-refundable deposit will be required.  
The deposit policy insures serious reservations only & allows us to give accurate availability
information to clients booking reservations.  Thank you for your understanding.
<----SUBMIT:  This submits my request for reservations.  I realize that I will lose my 25%
deposit should I need to cancel reservations after this payment is made.