Reservation Form Dates and TimesCheck In Date* MM slash DD slash YYYY Check In Time* : Hours Minutes AM PM AM/PM Check Out Date* MM slash DD slash YYYY Check Out Time* : Hours Minutes AM PM 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?* Yes No Has your home address recently changed?* Yes No Home 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?* Yes No I 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)* Male Female Spayed/Neutered (Guest 1)* Yes No Approximate Age (Guest 1)*Breed (Guest 1)* Colour (Guest 1)* Is kitty a smaller or a larger cat? (Guest 1)* Smaller Larger Declawed? (Guest 1)* Yes No Goes outside, even on the deck? (Guest 1)* Yes No Flea 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)* Yes No If yes, which kind and when did you start the tx: (Guest 1) Please provide a short description of 'Kitty's character: (Guest 1)*Current or previous health concerns (Guest 1)*Type and dose of medications (if any) (Guest 1) Mobility (Guest 1)* Good Fair Poor Is your cat allowed to have catnip? (Guest 1)* Yes No Is your cat allowed to have treats? (Guest 1)* Yes No Guest TwoCat Name (Guest 2)* Gender (Guest 2)* Male Female Spayed/Neutered (Guest 2)* Yes No Approximate Age (Guest 2)*Breed (Guest 2)* Colour (Guest 2)* Is kitty a smaller or a larger cat? (Guest 2)* Smaller Larger Declawed? (Guest 2)* Yes No Goes outside, even on the deck? (Guest 2)* Yes No Flea 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)* Yes No If yes, which kind and when did you start the tx: (Guest 2) Please provide a short description of 'Kitty's character: (Guest 2)*Current or previous health concerns: (Guest 2)*Type and dose of medications (if any) (Guest 2) Mobility (Guest 2)* Good Fair Poor Is your cat allowed to have catnip? (Guest 2)* Yes No Is your cat allowed to have treats? (Guest 2)* Yes No Guest ThreeCat Name (Guest 3)* Gender (Guest 3)* Male Female Spayed/Neutered (Guest 3)* Yes No Approximate Age (Guest 3)*Breed (Guest 3)* Colour (Guest 3)* Is kitty a smaller or a larger cat? (Guest 3)* Smaller Larger Declawed? (Guest 3)* Yes No Goes outside, even on the deck? (Guest 3)* Yes No Flea 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)* Yes No If yes, which kind and when did you start the tx: (Guest 3) Please provide a short description of 'Kitty's character: (Guest 3)*Current or previous health concerns (Guest 3)*Type and dose of medications (if any) (Guest 3) Mobility (Guest 3)* Good Fair Poor Is your cat allowed to have catnip? (Guest 3)* Yes No Is your cat allowed to have treats? (Guest 3)* Yes No Guest FourCat Name (Guest 4)* Gender (Guest 4)* Male Female Spayed/Neutered (Guest 4)* Yes No Approximate Age (Guest 4)*Breed (Guest 4)* Colour (Guest 4)* Is kitty a smaller or a larger cat? (Guest 4)* Smaller Larger Declawed? (Guest 4)* Yes No Goes outside, even on the deck? (Guest 4)* Yes No Flea 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)* Yes No If yes, which kind and when did you start the tx: (Guest 4) Please provide a short description of 'Kitty's character: (Guest 4)*Current or previous health concerns (Guest 4)*Type and dose of medications (if any) (Guest 4) Mobility (Guest 4)* Good Fair Poor Is your cat allowed to have catnip? (Guest 4)* Yes No Is your cat allowed to have treats? (Guest 4)* Yes No Accept Accommodation Agreement?* I accept the Accommodation Agreement.
