Client Name:

Email Address:

Pet's Name:

Contact number while pet is boarding:

Emergency contact name:

Emergency contact number:

Is anyone other than you authorized to pick this pet up from Boarding? If yes, please list below:

Vaccine Requirements:

All pets must be up to date on required vaccines. If pets are found to be overdue or if vaccines cannot be verified by phone or fax, they will be given upon admittance for boarding.

Preventative Care:

Any pets found to have fleas, ticks, intestinal parasites or fungal infections will be treated immediately at the owner’s expense.

Boarding Check-in Date

Boarding Check-out Date

Are you bringing another pet(s) to board?

Yes

If you are bringing another pet(s) to board what is the pet(s) name?

Do you want these pets to board together or separately?

Together

Separate

Feeding Instructions:

All boarding pets are fed Hill’s Science Diet. We are happy to feed other diets at your request. Are you providing food for your pet to eat while boarding?

Yes

Medications - Please list name of medication, strength, and directions

** Please note there is an additional fee for medication/supplement administration. **

Any concerns/ comments for the veterinarian?

Personal Belongings:

Additional Services:

Does your pet need to be examined by a veterinarian?

Yes

If yes, please describe:

Preference for Doctor:

Is your pet scheduled for a Surgical Procedure or Dental Procedure while Boarding:

Yes

Please explain the Surgical or Dental Procedure:

Boarding Risk Acknowledgement

**Please DO NOT bring your pet for boarding if they are experiencing a cough that is not related to a medical condition (ex. heart disease). If your pet was diagnosed and being treated for possible kennel cough or any other upper respiratory infection, they must be on medication for a full 7 days and symptom free for 48 hours before they can come into the boarding facility. Please be honest with us, we are doingour very best to keep your furry friends safe.

Boarding:

We do everything we can to ensure safety and cleanliness of our patients during their stay with us. We have strict cleaning protocols with pet safe disinfectants as well as protocols to minimize any potential risks of exposure to infected patients. Again, your pets’ safety will always be our top priority.

Pick up time

If your pet is not picked up before 12:30 pm on the scheduled departure date, then you will be charged for that night of boarding.

What happens if your dog becomes sick while boarding?

1. Your pet will be examined by a doctor. If the doctor determines they are contagious they will be moved to an isolated area and treated by a technician.
2. You will be notified immediately by the doctor of the illness and treatment plan.
3. Our medical team will keep you updated on their condition.

Do not hesitate to ask any questions at any time during your pets’ stay. We are doing our very best to provide a high standard of care to both you and your pet(s).

I acknowledge there are risks to boarding my pet. By signing below, I accept the risks of boarding and agree to not hold Ridgetowne Animal Clinic liable in the event my pet shows signs of illness. If my pet shows signs of illness, Ridgetowne Animal Clinic will notify me immediately and begin treatment at my expense. I certify that I have provided accurate vaccination records for the boarding pet(s). I also certify that my pet has not exhibited signs of coughing, lethargy, lack of appetite, vomiting or diarrhea in the last 48 hours.

Signature

I have read and understand this authorization and consent. I, the above signed owner, certify that I am eighteen years of age or older.

Boarding Check-In Form

Boarding Risk Acknowledgement

Review Us!

Get In Touch

Ridgetowne Animal Clinic