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Boarding Form

Client's Name

Pet's Name

Part 1 - Feeding and Service Needs

I will pick up my pet on (Date/Time)

I brought my pet's own food

I brought my pet's own food
A
B

My pet is on a special diet. If so, explain below

My pet eats

My pet eats
A
B
C
D

My pet eats this amount

My pet's next feeding is at (Date/Time)

My pet needs a bath, brush out and nail trim (**If having a bath, pick up is after 4:30 and before 6:00**)

My pet needs a bath, brush out and nail trim (**If having a bath, pick up is after 4:30 and before 6:00**)
A
B

My pet needs a nail trim only

My pet needs a nail trim only
A
B

My pet needs his/her anal glands expressed

My pet needs his/her anal glands expressed
A
B

My pet needs an examination

My pet needs an examination
A
B

Please explain

I am leaving the following items with my pet (use space provided below for items). Although we try to make sure your pet goes home with what he/she came with, we are not responsible for lost items or items left here while boarding.

Please see specific notes about my pet below

Part 2 - Medications

My pet is on medication

My pet is on medication
A
B

Please specify medications, doses, and what the next dosage time is

Part 3 - Emergency Information

Treatment if my pet becomes ill

Treatment if my pet becomes ill
A
B

Treatment amount ($)

Two emergency numbers that I can be contacted at are

I understand that my pet will be treated for any internal/external parasites noticed while boarding.
Signature

I want my pet to have play time when available ($18.00 per half hour) up to (number of increments)