Boarding Record

 
Check-in Date:
Check-out Date:
 
 
Additional Services:
Belongings:
Type of Food:
Frequency:
Emergency Contact:
Number:
Is your pet on any medications?
If yes, please describe in detail medications and dosages that need to be given:
Animals are required to be current on the following vaccinations: Canines will need Dhppv, Rabies, Bordetella, and a Negative Fecal. Felines will need Fvrcp, Felv, Rabies, and a Negative Fecal in the last 6 months. If your pet is found to have parasites, he/she will be treated at your expense. Would you like your pet to play with others:
Would you like a pet cot? Flat fee of $6.24 per stay:
I acknowledge and understand that the Animal Hospital of SRVH and its owners and staff pledge to provide appropriate care to all pets boarding at their facility yet cannot guarantee the health of any animal. I agree to hold this facility (and its owners and staff) harmless for conditions that often are unavoidable in boarding environments, including, but not limited to, destruction of personal property, weight loss or gain, rough hair coat, kennel cough, upper respiratory infection, strained vocals, diarrhea, chipped nails or teeth, and fleas/ticks. I accept that my pet might exhibit excitement, aggression (known or unknown) while around other animals, or behavior that could potentially result in injuries to him/herself. In the rare occurrence that my pet is injured or becomes ill while boarding, I assume the risks of, and responsibility for, the costs to treat any injuries and/or illnesses my pet(s) sustains while boarding at this facility. I further understand and accept, in the absence of gross negligence by SRVH staff, that I will not hold the owners and staff as being liable for any injuries or deaths related to my pet(s) boarding at the SRVH facility.
 
Date: