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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
Yes
B
No
My pet is on a special diet. If so, explain below
*
My pet eats
*
My pet eats
A
AM only
B
PM only
C
AM and PM
D
At will
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
Yes
B
No
My pet needs a nail trim only
*
My pet needs a nail trim only
A
Yes
B
No
My pet needs his/her anal glands expressed
*
My pet needs his/her anal glands expressed
A
Yes
B
No
My pet needs an examination
*
My pet needs an examination
A
Yes
B
No
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
Yes
B
No
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
Please do not treat my pet if he/she becomes ill without calling me first
B
Please treat my pet if he/she becomes ill up to the specified amount before calling me
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)
*
Submit