Canine Country Cottage & Club, luxury boarding for dogs, requires that our guests are current on vaccinations, which include Rabies, DHLP (parvo / distemper) and Bordetella.
OUR HOURS ARE AS FOLLOWS:
Monday - Friday:
8:00 am - 12:00 pm, 3:00 pm - 5:00 pm
Saturday:
8:00 am - 12:00 pm
Sunday:
4:00 pm - 6:00 pm
* Office will be closed on all major holidays
Call today for your reservation or fill out the following FORM
Contact: Becky Embree
Phone: 319-489-2256
Existing Clients need only fill in the areas that are in bold format if all information on file is up to date.
CLIENT INFORMATION
First Name
:
Last Name
:
Street Address:
City:
State:
Zip Code:
Home Telephone #:
(please include area code)
Work Telephone #:
(please include area code)
Email address
(necessary for a reply)
:
Emergency Contact Name:
Emergency Contact Number:
GUEST INFORMATION
Dogs Name or Names
:
Breed
:
Sex:
Male
Female
Neutered
Spayed
Color:
Age:
Can Guests be boarded together?
Yes
No
Names of Guests to be boarded together:
Veterinarian and Contact Number:
Vaccinations Current
?
Yes
No
MEDICATION REQUIREMENTS
Name of Guest
:
Quantity:
Frequency:
Additional Instructions:
REQUESTED DATES / ROOMS
Requested Arrival Date
:
Arrival Time
?
AM
PM
Requested Departure Date
:
Departure Time
?
AM
PM
Room Type
?
REGULAR ROOM $22/DAY PER GUEST
SUITE $27/DAY PER GUEST
Exit Bath
?
Yes
No
Additional Comments:
Contact information is not shared with any third party.
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