Dog Boarding Form

Preferred Contact Method

Phone

Email

Pet Name*

Starting Boarding Date (drop off)*

Ending Boarding Date (pick up)*

Emergency Contact Name*

Emergency Contact Phone*

What would you like your pet to be fed?*

Complimentary Hills' Sensitive Stomach Dry Food

I will provide my own food (we do not accept raw diets requiring refrigeration)

Feeding Instructions*

Amount / Frequency

Is your pet currently on any medication or supplements (OTC or prescription)?*

Yes

No

If yes, please provide instructions for medication - dosage/frequency and when to begin.

All dogs must meet the hospital's vaccination requirements (Rabies, DHPP, Bordetella, Leptospirosis) and have a current intestinal parasite screening on file. Any pet with intestinal parasites, fleas or ticks will be treated at the client’s expense to prevent spread/infestation to other pets or employees.*

I have read and understand

Is your pet in need of medical services while boarding?*

Yes

No, just boarding

If yes, what medical services would you like for your pet while boarding?

If any minor abnormalities (e.g. suspected ear infection, loose stools, etc) are noted upon entrance or during your pet’s stay, do we have permission to begin treatment?

In the event of a minor or major emergency, or with immediate treatment deemed necessary by a veterinarian, we will attempt to contact the client. If the client cannot be reached, the pet will be treated at the client's expense.

Permission for treatment
Call me before instituting any treatment (provide phone #)

Dogs are bathed at client’s expense prior to release from boarding.*

I have read and understand.

Please indicate any other person(s) with permission to pick up your pet from boarding or make decisions on your pet’s or your behalf and provide their contact information:

Any additional notes or information (allergies, picky eater, anxious, etc.)

Please list all belongings you are bringing with you. If anything is valuable or one of a kind, we recommend leaving this at home. We will provide bedding and food bowls.

Social Media Authorization - ABC likes to share interesting stories or cute photos of our GREAT patients on Facebook or other approved social media.*

I agree to have my pet's photo shared on social media.

I do not agree to have my pet's photo shared on social media.

Our Clinic, as is allowed by Texas law, is not equipped with an on-site fire suppression sprinkler system and does not employ on-site personnel during hours when we are closed. All animals staying at our facility will be left unattended during those times. By agreeing below:
(1) I acknowledge and understand that the Clinic is not equipped with an on-site fire suppression sprinkler system.
(2) I further acknowledge and understand that the clinic is unstaffed when we are closed and that my pet will be left unattended during those times during their stay.
(3) I agree to release the Clinic, its owners, employees, and agents from any and all liabilities, claims, or expenses arising from my pet’s / pets’ stay, including but not limited to injuries, illnesses, or death. By signing below, I voluntarily consent to my pet(s) staying at the Clinic and acknowledge that I am solely responsible for any consequences that might arise during their stay.
*