Boarding Agreement

Owner's Name:

Date:

Address:

City:

State:

Zip:

Where you can be reached:

Incase of emergency, contact:

Phone:

(For more than one pet, please complete the following on separate forms).

Pet Name:

Species:

Breed:

Age:

Sex:

Approximate Weight:

For the health and safety of your pet, our care team, and other pets, We require the following information:

If your pet is vaccinated at another clinic, please provide us with a copy of the current vaccinations. We require current Rabies, Bordetella (Kennel Cough) and Distemper vaccine for dogs. For cats, we require a copy of current Rabies and Distemper vaccination. Your pet will also be checked upon arrival for fleas and will be treated if fleas are found. The charge will be added to your pet’s boarding fee. You may bring your own food if your pet is on a special diet. Otherwise we do provide food and bedding.

If you use a flea preventative, what was the date of the last treatment?

Has your pet ever bitten anyone?

Special Instructions

Food or Medications Required

How much to feed

Preferred Pickup Time and Date