Active Duty Owners's First Name *

Active Duty Owners's Last Name *

Owner's Rank

Owner's Personal Email *

What Airport Are You Flying Into? (Flight Information) * What Airport Are You Flying Into? (Flight Information) * *Yokota AB (OKO)Narita International Airport (NRT)Haneda International Airport (HND)

When do you land? * (Date)(Time)

Pet's Name (Pet Information) *

Dog or Cat * Dog or Cat * *DogCat

Breed *

Sex * Sex * *MaleFemale

Weight in Pounds *

Age in Years *

Color Description *

Is this pet still in quarantine?* Is this pet still in quarantine?* Yes No

If so, when is your pet's final quarantine date?*

Is This Spayed or Neutered? * Is This Spayed or Neutered? * Yes No

Is this Pet Aggressive Towards Other Animals Or People? * Is this Pet Aggressive Towards Other Animals Or People? * Yes, aggressive towards other dogs Yes, aggressive towards people Yes, both No

In the last 14 days, has your pet exhibited any of the following symptoms: coughing, sneezing, nasal/eye discharge, vomiting, diarrhea, lethargy, or unexplained hair loss/itching?* In the last 14 days, has your pet exhibited any of the following symptoms: coughing, sneezing, nasal/eye discharge, vomiting, diarrhea, lethargy, or unexplained hair loss/itching?* Yes No

Has your pet been diagnosed with, or exposed to, any contagious diseases in the last 30 days? (e.g., Kennel Cough, Canine Influenza, Parvovirus, Distemper, Leptospirosis, Ringworm, Sarcoptic Mange, or Feline Herpes/Upper Respiratory Infections)? Has your pet been diagnosed with, or exposed to, any contagious diseases in the last 30 days? (e.g., Kennel Cough, Canine Influenza, Parvovirus, Distemper, Leptospirosis, Ringworm, Sarcoptic Mange, or Feline Herpes/Upper Respiratory Infections)? Yes No

Does your pet have any other chronic medical conditions, injuries, or require any medications that our staff should be aware of? Does your pet have any other chronic medical conditions, injuries, or require any medications that our staff should be aware of? Yes No

Do You Have Another Pet You Would Like to Board? (Additional Pets) * Do You Have Another Pet You Would Like to Board? (Additional Pets) * *YesNo

Would You Like Your Pets Boarded in the Same Kennel? Would You Like Your Pets Boarded in the Same Kennel? YesNo

Second Pet's Name (Pet Information) *

Breed *

Sex * Sex *MaleFemale

Weight in Pounds *

Age in Years *

Check In Date (Requested Dates for Boarding) *

Color Description *

Is this pet still in quarantine?* Is this pet still in quarantine?* Yes No

If so, when is your pet's final quarantine date?*

Is This Spayed or Neutered? * Is This Spayed or Neutered? * Yes No

Is this Pet Aggressive Towards Other Animals Or People? * Is this Pet Aggressive Towards Other Animals Or People? * Yes, aggressive towards other dogs Yes, aggressive towards people Yes, both No

In the last 14 days, has your pet exhibited any of the following symptoms: coughing, sneezing, nasal/eye discharge, vomiting, diarrhea, lethargy, or unexplained hair loss/itching?* In the last 14 days, has your pet exhibited any of the following symptoms: coughing, sneezing, nasal/eye discharge, vomiting, diarrhea, lethargy, or unexplained hair loss/itching?* Yes No

Has your pet been diagnosed with, or exposed to, any contagious diseases in the last 30 days? (e.g., Kennel Cough, Canine Influenza, Parvovirus, Distemper, Leptospirosis, Ringworm, Sarcoptic Mange, or Feline Herpes/Upper Respiratory Infections)? Has your pet been diagnosed with, or exposed to, any contagious diseases in the last 30 days? (e.g., Kennel Cough, Canine Influenza, Parvovirus, Distemper, Leptospirosis, Ringworm, Sarcoptic Mange, or Feline Herpes/Upper Respiratory Infections)? Yes No

Does your pet have any other chronic medical conditions, injuries, or require any medications that our staff should be aware of? Does your pet have any other chronic medical conditions, injuries, or require any medications that our staff should be aware of? Yes No

Check Out Date

Reservation Reservation *VacationTDYEmergency LeavePCS-OutDaycareQuarantine

Sponsor's Name (Owner's Information) First Name

Sponsor's Name (Owner's Information) Last Name

Rank

Duty Phone

Personal Phone

Email

Pet's Name (Pet Information)

Dog or Cat Dog or Cat *DogCat

Breed

Sex Sex *MaleFemale

Weight in Pounds *

Age in Years

Color Description

Is This Spayed or Neutered? Is This Spayed or Neutered? Yes No

In the last 14 days, has your pet exhibited any of the following symptoms: coughing, sneezing, nasal/eye discharge, vomiting, diarrhea, lethargy, or unexplained hair loss/itching? In the last 14 days, has your pet exhibited any of the following symptoms: coughing, sneezing, nasal/eye discharge, vomiting, diarrhea, lethargy, or unexplained hair loss/itching? Yes No

Has your pet been diagnosed with, or exposed to, any contagious diseases in the last 30 days? (e.g., Kennel Cough, Canine Influenza, Parvovirus, Distemper, Leptospirosis, Ringworm, Sarcoptic Mange, or Feline Herpes/Upper Respiratory Infections)? Has your pet been diagnosed with, or exposed to, any contagious diseases in the last 30 days? (e.g., Kennel Cough, Canine Influenza, Parvovirus, Distemper, Leptospirosis, Ringworm, Sarcoptic Mange, or Feline Herpes/Upper Respiratory Infections)? Yes No

Does your pet have any other chronic medical conditions, injuries, or require any medications that our staff should be aware of? Does your pet have any other chronic medical conditions, injuries, or require any medications that our staff should be aware of? Yes No

Do You Have Another Pet You Would Like to Board? (Additional Pet) * Do You Have Another Pet You Would Like to Board? (Additional Pet) * Yes No

Pet's Name (Pet Information)

Dog or Cat Dog or Cat *DogCat

Breed

Sex Sex *MaleFemale

Weight in Pounds *

Age in Years

Color Description

In the last 14 days, has your pet exhibited any of the following symptoms: coughing, sneezing, nasal/eye discharge, vomiting, diarrhea, lethargy, or unexplained hair loss/itching? In the last 14 days, has your pet exhibited any of the following symptoms: coughing, sneezing, nasal/eye discharge, vomiting, diarrhea, lethargy, or unexplained hair loss/itching? Yes No

Has your pet been diagnosed with, or exposed to, any contagious diseases in the last 30 days? (e.g., Kennel Cough, Canine Influenza, Parvovirus, Distemper, Leptospirosis, Ringworm, Sarcoptic Mange, or Feline Herpes/Upper Respiratory Infections)? Has your pet been diagnosed with, or exposed to, any contagious diseases in the last 30 days? (e.g., Kennel Cough, Canine Influenza, Parvovirus, Distemper, Leptospirosis, Ringworm, Sarcoptic Mange, or Feline Herpes/Upper Respiratory Infections)? Yes No

Does your pet have any other chronic medical conditions, injuries, or require any medications that our staff should be aware of? Does your pet have any other chronic medical conditions, injuries, or require any medications that our staff should be aware of? Yes No

Check In Date (Requested Dates for Boarding)

Estimated Drop-Off Time (Availability between: Mon–Fri 9:30am – 5pm • Sat: 9 am–3 pm • Sun: 11am–5pm)

Check Out Date

Estimated Pick-Up Time (Availability between: Mon–Fri 9:30am – 5pm • Sat: 9 am–3 pm • Sun: 11am–5pm)

Reservation * Reservation * *VacationTDYEmergency LeavePCS-OutDaycareQuarantine

Sponsor's Name (Owner's Information) First Name *

Sponsor's Name (Owner's Information) Last Name *

Sponsor's Name (Owner's Information) Last Name *

Personal Phone

Email *

Pet's Name (Pet Information) *

In the last 14 days, has your pet exhibited any of the following symptoms: coughing, sneezing, nasal/eye discharge, vomiting, diarrhea, lethargy, or unexplained hair loss/itching? In the last 14 days, has your pet exhibited any of the following symptoms: coughing, sneezing, nasal/eye discharge, vomiting, diarrhea, lethargy, or unexplained hair loss/itching? Yes No

Has your pet been diagnosed with, or exposed to, any contagious diseases in the last 30 days? (e.g., Kennel Cough, Canine Influenza, Parvovirus, Distemper, Leptospirosis, Ringworm, Sarcoptic Mange, or Feline Herpes/Upper Respiratory Infections)? Has your pet been diagnosed with, or exposed to, any contagious diseases in the last 30 days? (e.g., Kennel Cough, Canine Influenza, Parvovirus, Distemper, Leptospirosis, Ringworm, Sarcoptic Mange, or Feline Herpes/Upper Respiratory Infections)? Yes No

Does your pet have any other chronic medical conditions, injuries, or require any medications that our staff should be aware of? Does your pet have any other chronic medical conditions, injuries, or require any medications that our staff should be aware of? Yes No

Do You Have Another Pet You Would Like to Board? (Additional Pets) * Do You Have Another Pet You Would Like to Board? (Additional Pets) * *YesNo

Pet's Name (Pet Information)

Dog or Cat Dog or Cat *DogCat

Breed

Sex Sex *MaleFemale

Weight in Pounds *

Age in Years

Color Description

Is This Spayed or Neutered? Is This Spayed or Neutered? Yes No

In the last 14 days, has your pet exhibited any of the following symptoms: coughing, sneezing, nasal/eye discharge, vomiting, diarrhea, lethargy, or unexplained hair loss/itching? In the last 14 days, has your pet exhibited any of the following symptoms: coughing, sneezing, nasal/eye discharge, vomiting, diarrhea, lethargy, or unexplained hair loss/itching? Yes No

Has your pet been diagnosed with, or exposed to, any contagious diseases in the last 30 days? (e.g., Kennel Cough, Canine Influenza, Parvovirus, Distemper, Leptospirosis, Ringworm, Sarcoptic Mange, or Feline Herpes/Upper Respiratory Infections)? Has your pet been diagnosed with, or exposed to, any contagious diseases in the last 30 days? (e.g., Kennel Cough, Canine Influenza, Parvovirus, Distemper, Leptospirosis, Ringworm, Sarcoptic Mange, or Feline Herpes/Upper Respiratory Infections)? Yes No

Does your pet have any other chronic medical conditions, injuries, or require any medications that our staff should be aware of? Does your pet have any other chronic medical conditions, injuries, or require any medications that our staff should be aware of? Yes No

Check In Date (Requested Dates for Boarding)

Estimated Drop-Off Time (Availability between: Mon–Fri 9:30am – 5pm • Sat: 9 am–3 pm • Sun: 11am–5pm)

Check Out Date *

Pick-Up Time (Availability between: Mon–Fri 9:30am – 5pm • Sat: 9 am–3 pm • Sun: 11am–5pm)