Client Name Pet’s name Check in date MM slash DD slash YYYY Check out date MM slash DD slash YYYY Permission to post on Social Media Yes No Phone number where you may be reached in case of emergency Secondary emergency contact person name Phone numberEmergency Treatment: In the event that your pet should become sick while boarding, we will attempt to contact you. If we are unable to reach you: YES, you have my permission to treat my pet at my expenseNO, do not treat my pet as necessary until you contact me.Feeding Instructions: Once daily twice daily free fed I brought my pet’s own fooddrycanned Amount to be fed daily fed today Yes No Belongings: (please describe)* Bed/blanket toy(s ) carrier treats collar/leashcollar/leash other *We will do our best to keep belongings in the condition they arrived, however during boarding, things may happen to belongings that are beyond our control. We are not responsible for damaged belongings during your pet’s stay.Additional services that I request during my pet’s stay at normal fees nail trim anal gland expression ear checkBath if requested, baths are usually given the morning your pet is scheduled to leave. Please pick up your pet in the afternoon to allow for bathing and drying time. Special instructions for groomer Medications to be administered: if pet is on medication and this section is not completed, they may not be given Pet Medication dose last given Add More Pet Medication dose last given Add More Pet Medication dose last given Vaccinations, Intestinal Parasite check, Flea check All boarding pets are required to be current on vaccinations and have had a negative intestinal parasite check within the last6 months. If fleas are found on your pet, treatment will be given at your expense. Required dog vaccinations: Rabies, DHLPP, Bordetella (every 6 months) Required cat vaccinations: Rabies, FVRCP SignatureDate MM slash DD slash YYYY ***************To be completed by staff********************Patient status weight flea comb Add More Patient status weight flea comb Kennel Attendant
