At Molly's Country Kennels - "We Treat Your Pet Like Family"
 ON-LINE RESERVATIONS - NOTE:  ALL ON-LINE RESERVATIONS MUST BE 
CONFIRMED DIRECTLY WITH US BY PHONE OR EMAIL

  

 
ARE YOU A NEW OR RETURNING CLIENT?    
Your Name:     
Address:
City:       
 State:                                                    Zip:           
Home Phone:   
Work Phone:    
Cell Phone:       
Pager:                    
 Email Address:   
Local Emergency Contact Name:   
Contact's Home Phone / Work:        / 
Where I will be staying:
 Vet Clinic & Vet's Name:
Vet Phone:  
Before your arrival time, please have your veterinarian either call us or fax to us your pet's shot records. 
REQUESTED RESERVATION DATES:
*Arrival Date:             *Approx Arv Time:  
*Departure  Date:    *Approx Dep Time: 
 
Pet Name(s) Species / Breed Sex

Age

 Wt Color
1
2
3
4
5
MEDICATIONS / MEDICATION INSTRUCTIONS FOR EACH PET  
List Medications:                       
Medication Dosages:               

FEEDING / FEEDING INSTRUCTIONS:
Feed Type:
Feeding Schedule / Amounts:

Day Care:     Puppy Care:         
Dates/Instructions for Day Care or Puppy Care:
GUEST SERVICES:  -  I wish to sign my pet up for the following services:
SPA SERVICES      
  Bath & Nails Grooming Medicated Bath
 Additional Requests:

Other things about my pet:


Please email or fax this form so we may check for availability.  Please remember - this request is not a reservation, only a request for a reservation as all reservations and appointments for full grooming or boarding must be confirmed in advance! 

All immunizations must be verified in advance of arrival date.   On arrival, we will examine your pet, have you sign our boarding authorization, and you'll be on your way!