PET LODGE ADMITTING FORM
(Please complete a form for each pet. All information must be completed.)
PET NAME:
________________________
OWNER NAME: ________________________
CAMPER
REQUIREMENTS:
__________



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All campers must have current Rabies and Distemper vaccinations.
All canine campers must have an annual Bordetella (Kennel Cough) vaccination.
All canine campers must have passed an internal parasite screen within the last six months.
All requirements must be valid through the camper’s scheduled check-out date.
Owner Initials
Documentation of vaccinations & labwork performed at another veterinary hospital or pet
care facility must be provided at (or prior to) check-in.
 For campers who are patients of Mountain Parks Veterinary Hospital, documentation
does not need to be provided separately. In all other cases, it is the owner’s responsibility
to contact their veterinarian and obtain the necessary documentation.
 Any camper that does not provide documentation of Camper Requirements at (or prior to)
check-in will be vaccinated and/or have an Internal Parasite Screen performed by our
veterinary staff at Mountain Parks Veterinary Hospital at the owner’s expense.
 Prior to vaccinations being administered, a complete physical examination will be
performed by the veterinarian on duty at the owner’s expense. For campers who are
patients of Mountain Parks Veterinary Hospital, the physical examination will be waived if
the camper has been seen by our veterinary staff for a complete exam within the last five
(5) months.
Complete a Wellness Exam Medical Info Form for all pets who will receive a
doctor’s exam during their stay.

MEDICAL
CONDITIONS:
This pet  does  does not have any current or ongoing medical conditions, including allergies or recent surgeries.
CURRENT MEDICAL CONDITIONS (including chronic illness, recent injuries or surgeries, and allergies):
MEDICATIONS:
This pet  does  does not require medications and/or nutritional supplements to be administered during this stay.
ALL medications, including nutritional supplements must be provided in original packaging. Prescription medications
must include prescribing veterinarian’s instructions. Please be aware that prior approval is required from our veterinary
staff (and an additional fee applies) for any injections, medications requiring special handling and/or if your pet requires
restraint.
MEDICATION:
MEALS:
DOSAGE:
GIVEN:
1.
AM
PM
BOTH OTHER
2.
AM
PM
BOTH OTHER
3.
AM
PM
BOTH OTHER
4.
AM
PM
BOTH OTHER
Please feed this pet as follows:
 MORNING ONLY
 EVENING ONLY
 MORNING & EVENING
 Amount to Feed at each feeding (if not indicated, will feed based on weight) _______________________________
Please feed this pet a diet of:
 Camp Provided Food
 Personal Pet Food (must be in sealed plastic container. Additional fees apply for diets not properly packaged
and/or requiring special handling. )
Additional Instructions: ____________________________________________________________________________
_______________________________________________________________________________________________
BATHING:
Campers who stay with us 4 or more nights are offered a complimentary bath. All other campers may be bathed at a
discounted rate. I would like this pet to receive a:
 Complimentary Bath  Discounted Bath  No bath
PERSONAL
ITEMS:
The following personal items (that have permanent identification) are being left with this pet. Please note that we do not
take responsibility for bedding or personal toys left with us.
____________________________________________________________________________________________
ADVENTURE
CAMP CONSENT
& WAIVER for
GROUP PLAY:
(For Canine
Campers Only)
Mountain Adventure Camp provides a safe and structured environment for canine camper to participate in activities,
explore the great outdoors, and spend the entire day (excluding “nap” time) outside in our fresh mountain air. An
Upgrade to Adventure Camp is available to all boarding dogs for an additional daily fee. Only campers who meet our
additional requirements for Group Play will be permitted to socialize with other camper dogs.
I understand participation in group play at Mountain Adventure Camp means my pet will be interacting with other dogs. I
also recognize that for the health of my pet and the health of other pets enrolled at Mountain Adventure Camp, my pet
must be four months of age or older and spayed or neutered by the age of six months in order to participate in this
program.
I understand that all pets are screened before enrollment in Group Play at Adventure Camp. I certify that my pet is nonaggressive and does not show threatening behavior towards people or other dogs. To my knowledge, my dog has not
bitten another pet or human.
There are times in this type of play environment when quarrels can arise and I realize that Mountain Parks Veterinary
Hospital cannot be held responsible for any injuries that may occur while my pet is at Mountain Adventure Camp.
Should a situation arise where my pet is directly responsible for any injuries to other campers, I understand that I may
be held financially responsible for charges incurred to provide medical treatment.
__________
Owner Initials
 I DO wish to have this pet participate in GROUP PLAY at Mountain Adventure Camp at an additional daily fee.
 Days to include:____________________________________________________________
 I DO NOT wish to have this pet participate in GROUP PLAY at Mountain Adventure Camp.
UNSUPERVISED
EXERCISE &
INDIVIDUAL
ADVENTURE CAMP:
(For Canine
Campers Only)
Dogs who are not participating in group play at Mountain Adventure Camp are offered individual (or with their “siblings”),
unsupervised, free exercise time in our exercise yards with 6’ fences throughout their stay. An Upgrade to Individual
Adventure Camp, which allows campers to spend the entire day (excluding “nap” time) outside enjoying the fresh
mountain air is available for an additional daily fee. Be aware that we do not recommend Unsupervised Play or
Individual Adventure Camp for dogs that have a tendency to jump over or crawl under fences, eat rocks or
twigs, or have other behaviors which require supervision.
 I DO  I DO NOT authorize unsupervised play time in the exercise yards.
 I DO wish to have my pet upgrade to INDIVIDUAL PLAY at Mountain Adventure Camp at an additional daily fee.
 Days to include:____________________________________________________________
CHECK-IN &
CHECK-OUT:
__________
For their safety, Pets must be on a leash at check-in and check-out. Leashes are available at Camp Headquarters
for your use and staff is available to assist you to or from your car.
Check out time is 10 a.m. Charges are incurred on a per night basis. Due to the time needed for cleaning and
sanitization of our facilities, pets released after the scheduled check-out time will incur additional fees.
Owner Initials
Check-out Date: _______________  a.m.  p.m.
ADDITIONAL
INSTRUCTIONS:
Is there anything else that we need to know about this pet for this stay?
IMPORTANT!
I understand and agree that all charges incurred during this pet’s stay at Mountain
Adventure Camp & Pet Lodge are due at time of check-out. Current Overnight Lodging
Rates & Fees, including multiple occupancy rates and policies are available on our website
at www.mountainparksvet.com.
__________
Owner Initials
I further understand that this pet will not receive 24 hour care and we cannot provide care to
those animals requiring 24 hour medical care or supervision. I hereby authorize Mountain
Parks Veterinary Hospital’s veterinarian to examine, prescribe for, or treat this pet if a medical
situation should arise, including if medically appropriate, euthanasia. In the event medical attention
is required outside of the hospital’s regular business hours, I understand that this pet may be
transported to an emergency hospital of the hospital’s selection. I assume responsibility for all
charges incurred in the care of this pet, including those related to transport and treatment at another
medical facility. I also understand that these charges will be paid at the time of this pet’s discharge
and that a deposit may be required for boarding. In case of nonpayment, I understand that finance
charges will be assessed and I am responsible for any fees required to collect payment. I have
read the foregoing, understand what it says, and agree.
Signature:_______________________________________________Date:___________________
Emergency Phone # _____________________________________________________________
 YES, I would like to receive updates on this pet via text and/or picture messaging on my
mobile phone at ________________________________. I understand that I am responsible for
any usage charges incurred on my mobile account for receipt of any such messages.