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Boarding Form
Pet Name
*
Birth Date:
*
Gender:
*
Gender:
A
Male
B
Female
Species and Breed:
*
Owner Information:
*
*
*
Dates Needed for Boarding/Playcare:
*
Please Check the Appropriate Statement(s) Below
*
Please Check the Appropriate Statement(s) Below
I, the owner or authorized agent, acknowledge that the Doctor(s) at Urban Vet Center has recommended against Boarding/Playcare based on Medical Needs. Despite this, I am still wishing to use Upper Paw/AUVC boarding/Playcare services, fully recognizing this decision is against the doctor's advice.
I understand the patient needs IN-home/Medical boarding and it is my responsibility to seek such care, if any adverse issues (including death) arise from Boarding/Playcare I accept full financial and medical responsibility and release Austin Urban Vet Center, it's staff, and agents from all liability.
I understand I may still use Upper Paw for boarding with the above considered, as this does not end the ability to use Upper Paw services
Owner Name:
*
Date:
*
Submit
