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Owner's Name

Pet's Name

Email Address

Phone

Admission Date

Discharge Date

Time

Emergency Contact

Emergency Contact Phone

Emergency Contact

Emergency Contact Phone

Food Brand

Amount Fed

How many times fed daily?

Treats / Extras?

Medication (name & dosage)

Please specify the amount to be given and when it should be administered (morning, mid-day, evening).
*** There is an additional fee for administering medication to your pet.

Has your bet been medicated today? If so, what medications and when?

Does your pet need to see a doctor during their stay?

Please list your pet's belongings.

List any food or medications you need refilled and we will gladly get that ready for you!

notes

*** At the owner's expense, all dogs will receive NexGard, an oral flea preventative, upon entry. Cats receive Capstar on entry if fleas are present upon entry. Also, all dogs boarding 5 nights or longer will receive a bath at the owner's expense in order to maintain the hygiene of your pet.

May we sedate your pet if necessary?

Emergency Medical Attention

Emergency medical attention will be provided if needed and every attempt will be made to contact me if such a case should arise. I understand that the doctors and staff will use sound medical knowledge and I as the owner accept all financial responsibility.

I accept.

Today's Date