Boarding Slip -- Animal Health Care Center
Pet's Name
Your answer
Owner's Last Name
Your answer
Drop Off Date
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Pick Up Date
MM
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DD
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Pick Up
Would you like your pet to have a bath, at an additional cost? (if your pet is bathed pick-up time MUST be in PM)
If your pet is getting a bath, would you like us to call or text you when your pet is ready for pick-up, or would you prefer to just pick your pet up after 3PM?
Would you like any treatments done to your pet? (i.e. vaccinations, nail trim, exam, anal gland expression)? Please specify.
Your answer
Feeding Instructions:
Your answer
Special Instructions (meds to give, etc)
Your answer
Items bringing in with pet (including collar and leash):
Your answer
If your pet is a dog, please specify the area in which you would like your dog boarded:
If your pet is a cat, please specify the area in which you would like your cat boarded:
Would you like your pet to receive either of these special boarding options?
If you would like your pet to receive Private Playtime, how many sessions would you like him/her to have? (NOTE: we can only provide Private Playtimes on days we are open a full day)
Your answer
If you would like your pet to have Daily Brushings, how many Brushing Sessions would you like him/her to have?
Your answer
OWNER RELEASE
--I understand you CANNOT guarantee the health of my pet. I understand and will not hold the clinic responsible for conditions that are unavoidable in boarding kennels, such as but not limited to weight loss, hair loss, upper respiratory infections, bronchitis, diarrhea, and fleas. I understand ALL pets admitted to the clinic must be protected against communicable contagious diseases and must be free of internal and external parasites or will be treated on entry or discovery at the owner's expense.

--I understand that in the event of my pet's illness, the staff will immediately attempt to contact me or my person-of-contact to discuss the problem and treatment options, but may not be able to contact me immediately and is therefore authorized to initiate appropriate treatment until myself or my agent can be reached.

--Should an emergency arise, I authorize the medical staff to sedate my pet and/or perform such emergency procedures as may be necessary for the health of my pet until I can be notified. I agree to pay, in full, all charges for necessary services rendered for and to my pet.

--I understand that the clinic is not responsible for loss or damage to personal items left with my pet, including but not limited to leashes, collars, toys, and bedding.

--I understand that my pet can be discharged ONLY DURING REGULAR OFFICE HOURS.

Signature of Agreement to Terms of Boarding (type your full name):
Your answer
Today's Date:
MM
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DD
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Name and phone number of responsible party to be reached in case of emergency (please leave your phone number, along with numbers of person(s) of contact, if you are unreachable)
Your answer
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