Application for Cat Daycare
 

Human information


* Name:

Address:

City:
Zip

* Home phone number:

Work phone number:

Cell phone number:

* Email address (so we can send you pics):

Where did you hear about us? We like to reward our referrals!

 
Emergency Contact Information
Name:
Phone number:
Vet's name:
Phone number:
   
Kitty Information
Cat's name:
Cat's sex:
Male Female
Spayed or Neutered?
Yes No
Cat's breed:
Cat's age:
Any kids in the household?
Yes No
Where does your cat like to be pet?
What activities does your cat like to do?
Is your cat afraid of anything specific?

Does your cat have any health concerns?

No

Yes

   
Any additional comments:

 

*I understand and agree that any problem or injury that develops with my cat will be treated as deemed best by Mile High Mutts, Inc. A veterinarian will be contacted in the event of a medical problem that is serious in nature.
*I understand that if my cat is left at the day care for a period of three days without contact from the owner this cat will be considered abandoned and necessary steps will be taken to turn the animal over to the proper authorities.
*I recognize that there are inherent risks of illness or injury when dealing with animals. Such risks include, but are not limited to, problems resulting from rough play, bites, scratches, upper respiratory infections and colds.
*I, as the owner, agree to be solely responsible for any and all acts or behavior or my pet while in the care of Mile High Mutts, Inc. If my pet should become ill or seem to be in need of medical consideration, Mile High Mutts, Inc. reserves the right to administer aid and/or to use any available veterinarian. I, the owner, shall pay any expenses so incurred.

By submitting this form I agree to these terms.