Boarding Release Form

Name *

First Name

Last Name

Spouse (Other) Name

First Name

Last Name

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Home Phone *

(###)

###

####

Cell Phone

(###)

###

####

Work Phone

(###)

###

####

Spouse (Other) Phone

(###)

###

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Preferred Method of Contact *

Phone Call

Text

Email

Date of Birth *

If you do not know your pet's birthday, you can give your closest guess.

MM

DD

YYYY

Please inform us in advance if your pet has any of the following so we can best accomodate them: *

None of these traits will prevent us from caring for your pet! Knowing just helps us care for them better.

Allergies

Resource Guarder/Food Aggressive

Dog Reactive/Aggressive

Cat Reactive/Aggressive

Shy/Skittish/Fearful of New People

Has areas they do not like to have touched

None of the above.

V.I.P. Upgrades *

Please let us know if you would like any of the following. (You will be able to choose quantities of each upgrade when you check in.)

Nothing at this time.

K9 = $5 Zoom-ba Class (15 minutes)

Fel = $5 Purrobics Class (15 minutes)

K9/Fel = $10 Pawdicure Nail Trim (Free for current patients for a year!)

K9 = $5 Add Dremmeling to Pawdicure

Fel = $15 Add Soft Paws to 2 feet after Pawdicure

K9/Fel = Spa Session (Cost varies. Includes: Bath, Nail Trim, Ear Cleaning, Anal Gland Expression, Blow Dry, and Bandana.)

K9/Fel = Salon Session (Cost varies. Includes everything in the bath plus haircut and/or bows/bandanas.)

K9 = $5 Cuddle Session (Per 15 minute session)

Fel = $5 Brush & Fluff (Per 15 minute session)

K9/Fel = $2 Room Service (per meal)

K9/Fel = $5-$6 Capstar at Check-out

K9 = $65 Comfort Package (includes Adaptil Collar and Thundershirt)

K9 = $30-$32 Adaptil Collar only

K9 = $39.95 Thundershirt only

Fel = $30 Comfort Package (includes Feliway spray and Catnip 2 oz)

Fel = $24 Feliway Spray only

Fel = $9.99 Kong Premium Catnip 2 oz

Doctor Exam**

My dog will be walked without other pets in a fenced-in yard during scheduled walk times. *

Family households will go out together unless otherwise stated.

My pet must be on a leash during walk times in the fenced-in yard.

I allow supervised off-leash walk times in the fenced-in yard.

I have a cat; this does not apply.

By signing this once a year agreement, I understand that my pet is required to be current on vaccinations (Rabies, DA2PPV/FVRCP, Bordetella, Bivalent Flu) that are necessary for boarding and free of parasites (fleas, ticks, worms) for their protection as well as the protection of the pets in this facility. Treatment will be at my expense. *

I agree and understand.

An intestinal parasite exam will be done on my pet should they display diarrhea issues. This is necessary to protect all boarders and patients. Treatment will be at my expense. *

I agree and understand.

I understand that I will be checking the information I have provided at each check-in for my pet's stay and will initial the form at each visit. If there are any changes necessary, I will inform the staff member upon check-in. *

I agree and understand.

I verify that I understand the above information, and will discuss any updates throughout the year as indicated. *

I will be asked to sign a copy of this form at the initial check in.

I agree and understand.