New Cat Client Form
This form is intended for new cat clients to provide the information we will need to care for your cat. For more than one pet please fill out additional forms for each pet. Returning cat clients can use this form. Thank you! 
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Owner's Name (First Last) *
Cell Phone *
Other Phone
Email Address *
Check In Date *
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Check Out Date *
MM
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Check Out Time *
Street Address *
City *
State *
Zip Code *
Emergency Contact Name
Emergency Contact Number
Veterinary Practice & Phone Number *
Cat Name *
Breed *
Color *
Weight *
Birthdate *
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DD
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Sex *
Morning Feeding (for example: 1/2 cup nutro dry food) *
Evening Feeding (for example: 1/2 cup nutro dry food) *
Other Feeding (for example: 1/2 can friskies at lunch or 3 treats at bed time)
Is your cat allowed to have other treats or food? *
List any belongings your cat will have:
Select an activity package: *
Select a la carte activities:
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Does your cat have allergies? If so please describe:
Does your cat have any other health issues? If so please describe:
Does your cat have any medications? If so please note the name, dose, times given, and reason for medication.
Does your cat have any restrictions on movement? (Hip dysplasia, arthritis, etc.)
Does your cat regularly vomit or have diarrhea?
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Does your cat typically scratch or bite?
How would you describe your cat's personality?
Does your cat like to be pet by strangers?
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What does your cat like to play?
Other comments about your cat that may be helpful:

Owner Agreement/Release of Liability


I hereby certify that I have read and understand the following:

I certify that my cat(s) have not harmed or shown aggressive or threatening behavior towards any person or any other cat.  I understand that I am solely responsible for any harm caused by my cat(s) while my cat(s) is/are attending Dogs On The Farm (Center).

I further understand and agree that in admitting my cat(s) to the Center, Dogs On The Farm staff have relied on my representation that my cat(s) is/are in good health and have not been ill with any communicable condition in the last 30 days.

I further understand and agree that in admitting my cat(s) to the Center, Dogs On The Farm staff have relied on my representation that my cat(s) is/are in good health with no health restrictions on play unless otherwise disclosed to the Center and have not harmed or shown aggressive or threatening behavior towards any person or any other cat.   

I further understand and agree that Dogs On The Farm and their staff and volunteers, will not be liable for any problems which develop, provided reasonable care and precautions are followed, and I hereby release them of any liability of any kind whatsoever arising from my cat(s) attendance and participation at the Center.

I further understand and agree that any problems that develop with my cat(s) will be treated as deemed best by staff and volunteers of Dogs On The Farm, at their sole discretion, and that I assume full financial responsibility for any and all expenses involved.

I further understand that my cat(s) will be included in Dogs On The Farm’s PetAssurance Program, and I have read and understand the program and its inclusions and exclusions.  

I further certify that I have read and understand the policies of the Center as set forth on the preceding pages and that I have read and understand the conditions, and statements of this agreement, including the following:

Should any boarding animal become ill or seem to be in need of medical attention, we reserve the right to administer aid or use our veterinarian.  Any expenses so incurred, shall be paid by the owner of said animal in addition to other fees listed on this contract.

Daily boarding charges begin on the date entered on the current check in form.  Customer agrees to notify this kennel in advance if there is any change in the date boarding animal is to be picked up.  No boarding animal will be released until all charges are paid in full.

Owners shall remain liable for complete boarding as well as other charges incurred in the care, maintenance and disposal of said animal as listed on this contract.  It is expressly agreed by Owner and Kennel that Kennel’s liability shall in no event exceed the lesser of the current chattel value of a pet of the same species or sum of $200.00 per animal boarded.  The owner further agrees to be solely responsible for any and all acts or behavior of said pet while it is in the care of the Kennel.  The owner of the animal or his agent agrees to pay reasonable attorney’s fees incurred by the boarding facility in the collections of any boarding, grooming, or other charges incurred by the owner of the animal or his agent.

Cats must be up to date on the following vaccinations:  Distemper and Rabies.

Pets with fleas/ticks will be bathed/dipped at owner’s expense in order to maintain flea control in the kennel.

This kennel is not held responsible for the loss of any toys, leashes, collars, or bedding that is brought into the kennel.


I understand and agree to the above.


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