Martas Vineyard Canine Resort

519 Federal Road
Brookfield, CT 06804


Express Check In Form

Date (required) :
Name (required)
First Name (required)
Last Name (required)
Phone (required)
Phone TypePhone Number (required)
Check In Date (required) :
Check Out Date (required) :
E-Mail Address (required) :
Pet(s) Name (required)

Confirm Room Selection (required)
Main Suite
Junior Suite
Luxury Suite
Petite Center
Comfort Suite
Cat Center
Medications if any and for what

Luggage- please be specific ie: red fleece bed and green fleece ball (required)

Bath and Nails
Nails Only
Sleepy Snuggle
Brush Outs
Video Emails
Resort Food
Specific Feeding Instructions (required)

Owner Emergency Contact Numbers (required)

Friend or Family Member who may pick up with their phone number

Agreement To Review and Sign
I know that pick up time for my pet is by 12 noon or I must pay for the day. I understand that during high season rates increase. I authorize MVCR to do what they deem necessary, after consulting with their veterinarian, for the health and wellbeing of my pet and agree to pay for any/ all expenses. I authorize MVCR to use their veterinarian if deemed necessary and agree to pay for any/ all expenses of the veterinary services. I understand that MVCR is not responsible for any items I bring that may be lost, damaged, or ingested by my pet. I agree to pay the daily posted rates and will call 24 hours in advance for early pick up or know I will be charged for the scheduled pick up time I initaled on my admission form. I release MVCR from all and any liability as a result from boarding by my pet. My pet is healthy with no medical condition(s) upon entry. If my pet does have a medical condition I have reviewed it with the front office. I have read this agreement on this date and understand its terms.
Signature and Date (required)

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