Hillrose Pet Resort | Reservations

Pet #1

Type:

Pet Name:

Breed:

[dogs only]

Sex:

Age:

Weight:

Color:

Feeding

Quantity:

[ie. 2.5 cups -- per feeding]

Brand/Type:

[ie: Iams Lamb & Rice]

Times:

Morning

Afternoon

Evening

Exercise

Playtimes [15 minutes daily, on-leash]

Select Frequency:

Bath & Groom

Bath
Groom
Both

Additional Information:
[ie. medical needs, "watch-for" notes, problems, etc.]

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First Name: *		Last Name: *
Address: *		City: *
State:		Zip: *
Email: *		Phone: *
Emergency Contact
Name: *		Phone: *
Your Vet/Clinic
Vet Name:		Phone:
Other Details
Number / Location where I will be staying:
Arrival Date:		Pickup Date:
How Referred:		Other:
	Before your arrival time, please ask your veterinarian to fax your pet’s shot records to 206.242.4646