| Client's name: |
Name is required. |
| Pet's name(s): |
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| Are you a returning client? |
Yes
No (new clients must complete the Master Camper File Form)
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| Client's phone number: |
Phone is required. |
| E-mail address: |
E-mail is required.Invalid format. |
Closed on holiday days for check-ins and check-outs. |
| Date in (xx/xx/xx):
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Time in:
AM or
PM |
| Date out (xx/xx/xx):
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Time out:
AM or
PM |
Check-in and Check-out times
Monday-Saturday 8:00am-10:00am OR 4:00pm-6:00pm.
Sunday 4:00pm-6:00pm ONLY.
Absolutely no check-ins or check-outs before 8:00am or after 6:00pm!
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| Extra Services Ordered (Remember that three 30-minute group plays are included in your pet's daily routine.): |
We are no longer offering “individual extra activities” due to the drastic decrease in the interest of these “extras”. We will be adjusting our daily routine each day to include an extra community play group so there will now be four group play sessions every day instead of three group play sessions per day. |
| Emergency Numbers (Golden Lake requests emergency numbers, where we can reach you in case of an emergency. Cell phone numbers work, and/or you can set-up a local guardian, who can make decisions in your absence.): |
Primary emergency contact name: |
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Primary emergency contact phone number: |
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Additional emergency contact name(s) & phone number(s): |
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| Food (Golden Lake stocks a variety of food in the kitchen. If you feed one of these foods - Wellness, Pinnacle, Science Diet, IAMS, Nutromax or Pro Plan; you do not need to bring any food. If you feed a food we do not stock and need to bring your own food, please bring only enough for your dog's length of stay. It can be in a ZipLoc Bag measured out per feeding, or a plastic container with just enough for their stay. Example: If your dog eats 3 cups per day, it needs to be in measured out 1 1/2 cup bags. Food must be well marked with your pet's name and your last name.): |
Special food instructions: |
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| Medications (If your pet needs medications, such as supplements, heartworm, flea preventative, etc., it must be in a daily pill pack with well-marked instructions, your pet's name, and your last name. Golden Lake will charge a fee if your pet's meds are not in a daily pill pack. Golden Lake has pill packs available for purchase, at cost, upon request.): |
Special medication instructions: |
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| Comments or Additional Information: |
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| Credit Card Information: |
Visa or MC number (this page is secure): |
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Expiration date:
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CVV (last 3 digits on back of card):
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| Policies: |
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I have read and understand the cancellation policy. I also understand that the cancellation policy is in effect for any reservations that I make at Golden Lake Recreational Pet Camp. I will bring my pet’s vaccination certificate with me at time of check-in. I understand my animal will not be admitted without a vaccination certificate or proof of vaccine titers. Please type your name below, to confirm you have read the above and the Master Boarding Contract.
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Name is required to confirm. |
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Mechanicsburg, PA 17055 
