"Just Like Home" Pet Hotel
Guest Information Form
Serving Tampa Bay - Located Near Oldsmar   •   Contact us at (813) 854-HOME (4663)

Guest #1 Name
Guest #2 Name
Guest #3 Name
Human Name
Cell Phone
Email Address
Security Code: *  
Veterinarian Name
Phone Number
Emergency Contact Name
Emergency Contact WORK Phone Number
Emergency Contact HOME Phone Number
Emergency Contact CELL Phone Number
(The Emergency Contact must be available to pick up your pet in the event of an emergency such as hurricane/storm evacuations, serious injury, illness or any other event that would preclude us from keeping your pet safe at our location.)
Spay/Neuter?
Yes No
Flea and Tick Application date
Medications and Schedule:
Food / Medication Allergies:
Dry Food Brand & Type
Amount
DOES YOUR DOG EXHIBIT ANY OF THE FOLLOWING?     PLEASE ELABORATE IN THE COMMENT AREA.
Food Aggressive
Toy Aggressive
Barking
Digging
Marking
Jumping
Behavior Comments
WHAT IS YOUR DOG AFRAID OF?      PLEASE ELABORATE IN THE COMMENT AREA.
Thunder/Rain
Loud Noises
TV
Men
Sudden Moves
Children
Small Dogs
Fireworks
Fear Comments:
Is your dog socialized?
Yes No Daily Routine
Other information
I have read, understand and agree to the below Agreement / Medical Authorization / Release and the Waiver of Liability forms.

a) That "Just Like Home" staff has relied on my representation that my dog(s) is/are in good health and have not harmed or shown aggressive or threatening behavior towards any person or any other dog.

Just Like Home Pet Hotel Guest Information Form- Serving Tampa Bay- Emergency Contact- Authorization- Release

b) I RELEASE FROM LIABILITY AND HOLD HARMLESS, "Just Like Home" owner, employees, contract staff, agents, officers, helpers, guests, etc., from any claim for loss or injury which may be alleged to have been caused directly or indirectly to any person or thing by the act of my dog. I personally assume all responsibility and liability for any such claim. I also agree to hold aforementioned parties harmless from any claim for loss of my dog by disappearance, theft, and death or otherwise, and any claim to damage or injury to the dog. I also agree to indemnify and save the aforementioned parties harmless from any and all loss and expense, including legal fees.

I certify that I have read, understood, and agree to the above stated policies.

*
YES, I UNDERSTAND AND AGREE




*
Required
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