Reservation Form Dates and TimesCheck In Date* Date Format: MM slash DD slash YYYY Check In Time* : HH MM AM PM Check Out Date* Date Format: MM slash DD slash YYYY Check Out Time* : HH MM AM PM How did you hear about Catnap (referrals receive discounts): Client InformationClient's Name* First Last Client's Email* Client's Phone*Are you a new client?*YesNoHas your home address recently changed?*YesNoHome Address* Street Address Address Line 2 City AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon Province Postal Code Veterinary Clinic*Veterinary Phone Number* Guest InformationNumbers of Guests*Please enter a number from 1 to 4.If you have more than 4 guests, please call the office.Is there a dog living with you?*YesNoI confirm that all my cats use a veterinary approved flea prevention prior to check in from April through November.* I confirm that all my cats use a veterinary approved flea prevention prior to check in from April through November. Guest OneCat Name (Guest 1)*Gender (Guest 1)*MaleFemaleSpayed/Neutered (Guest 1)*YesNoApproximate Age (Guest 1)*Breed (Guest 1)*Colour (Guest 1)*Is kitty a smaller or a larger cat? (Guest 1)*SmallerLargerDeclawed? (Guest 1)*YesNoGoes outside, even on the deck? (Guest 1)*YesNoFlea Prevention Guest One* I confirm that all my cats use a veterinary approved flea prevention prior to check in from April through November. Is kitty currently on flea treatment? (Guest 1)*YesNoIf yes, which kind and when did you start the tx: (Guest 1)Please provide a short description of 'Kitty's character: (Guest 1)*Type and dose of medications (if any) (Guest 1)Is your cat allowed to have catnip? (Guest 1)*YesNoIs your cat allowed to have treats? (Guest 1)*YesNo Guest TwoCat Name (Guest 2)*Gender (Guest 2)*MaleFemaleSpayed/Neutered (Guest 2)*YesNoApproximate Age (Guest 2)*Breed (Guest 2)*Colour (Guest 2)*Is kitty a smaller or a larger cat? (Guest 2*SmallerLargerDeclawed? (Guest 2)*YesNoGoes outside, even on the deck? (Guest 2)*YesNoFlea Prevention Guest Two* I confirm that all my cats use a veterinary approved flea prevention prior to check in from April through November. Is kitty currently on flea treatment? (Guest 2)*YesNoIf yes, which kind and when did you start the tx: (Guest 2)Please provide a short description of 'Kitty's character: (Guest 2)*Type and dose of medications (if any) (Guest 2)Is your cat allowed to have catnip? (Guest 2)*YesNoIs your cat allowed to have treats? (Guest 2)*YesNo Guest ThreeCat Name (Guest 3)*Gender (Guest 3)*MaleFemaleSpayed/Neutered (Guest 3)*YesNoApproximate Age (Guest 3)*Breed (Guest 3)*Colour (Guest 3)*Is kitty a smaller or a larger cat? (Guest 3)*SmallerLargerDeclawed? (Guest 3)*YesNoGoes outside, even on the deck? (Guest 3)*YesNoFlea Prevention Guest Three* I confirm that all my cats use a veterinary approved flea prevention prior to check in from April through November. Is kitty currently on flea treatment? (Guest 3)*YesNoIf yes, which kind and when did you start the tx: (Guest 3)Please provide a short description of 'Kitty's character: (Guest 3)*Type and dose of medications (if any) (Guest 3)Is your cat allowed to have catnip? (Guest 3)*YesNoIs your cat allowed to have treats? (Guest 3)*YesNo Guest FourCat Name (Guest 4)*Gender (Guest 4)*MaleFemaleSpayed/Neutered (Guest 4)*YesNoApproximate Age (Guest 4)*Breed (Guest 4)*Colour (Guest 4)*Is kitty a smaller or a larger cat? (Guest 4)*SmallerLargerDeclawed? (Guest 4)*YesNoGoes outside, even on the deck? (Guest 4)*YesNoFlea Prevention Guest Four* I confirm that all my cats use a veterinary approved flea prevention prior to check in from April through November. Is kitty currently on flea treatment? (Guest 4)*YesNoIf yes, which kind and when did you start the tx: (Guest 4)Please provide a short description of 'Kitty's character: (Guest 4)*Type and dose of medications (if any) (Guest 4)Is your cat allowed to have catnip? (Guest 4)*YesNoIs your cat allowed to have treats? (Guest 4)*YesNo Accept Accommodation Agreement?* I accept the Accommodation Agreement.
