Canine Country Cottage & Club, luxury boarding for dogs, requires that our guests are current on vaccinations, which include Rabies, DHLP (parvo / distemper) and Bordetella.
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.
During peak periods, major holidays and spring breaks, a deposit of ½ of the total cost of the stay will be required before reservation can be secured. Deposit is non-refundable if the reservation is cancelled less than 2 weeks prior to day of arrival.
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
Additional Comments:
Contact information is not shared with any third party.
