Boarding Admission Form

Name

First Last

Date of booked reservation & length of stay*

Estimated time of drop off*

Estimated time of pick up*

(Discharge is 12 noon, if pet is picked up after 12 noon, another day charge will be applied)

If fleas are found on your pet: If you are not an existing client here and your pet has not been seen at your regular veterinarian within the last 6 months, there will be a Healthy Pet exam fee of $45.00 as well as a fee for the flea treatment. If your pet has been seen within the last 6 months, or are an existing client here, then there will just be a fee for the flea treatment.

Pet Information

This section is for ONE pet

Pet's name*

Feeding Instructions*

(ie. 1 cup of kibble twice daily)

Does your pet have any food allergies?*

Should your pet refuse to eat, which diet alternative do you prefer?*

( Soak kibble? Another food from our retail at an additional cost? etc.)

Is there anything we should know about your pet’s behaviour?*

(ie. Anxiety, Aggression, Energetic, etc.)

Has your pet ever bitten anyone? If yes, when?*

Does your pet have any medical conditions we should be aware of?*

(ie. Diabetic, Epileptic, etc.)

Does your pet require any medications? If yes, please list medication(s) and when they are given?*

(Please note that we always check for fleas on admission, if we find any signs of fleas on your pet, they will be treated at the owner’s expense).

Please note that if your pet requires medication while here there will be an extra charge of $5/day and if the medication is to be given by a technician only (eg. insulin), then the total boarding fee will be $31.00/day.

Would you like to have any of the following extras done at an additional cost?*

Extra Play time ($5.50/day)
Nail Trim ($15.00)
Bath ($20.00)
Brushing ($3.50/day)
No

If you selected Extra Play Time or Brushing above, how many days would you like to sign up for?

Just a reminder that we do not allow personal belongings such as beds, blankets and toys.

Will you be boarding multiple pets with us? If so how many?

Information For 2nd Pet

Pet 2 Pet's name*

Pet 2 Feeding Instructions*

(ie. 1 cup of kibble twice daily)

Pet 2 Does your pet have any food allergies?*

Pet 2 Should your pet refuse to eat, which diet alternative do you prefer?*

( Soak kibble? Another food from our retail at an additional cost? etc.)

Pet 2 Is there anything we should know about your pet’s behaviour?*

(ie. Anxiety, Aggression, Energetic, etc.)

Pet 2 Has your pet ever bitten anyone? If yes, when?*

Pet 2 Does your pet have any medical conditions we should be aware of?*

(ie. Diabetic, Epileptic, etc.)

Pet 2 Does your pet require any medications? If yes, please list medication(s) and when they are given?*

(Please note that we always check for fleas on admission, if we find any signs of fleas on your pet, they will be treated at the owner’s expense).

Please note that if your pet requires medication while here there will be an extra charge of $5/day and if the medication is to be given by a technician only (eg. insulin), then the total boarding fee will be $31.00/day.

Pet 2 Would you like to have any of the following extras done at an additional cost?*

Extra Play time ($5.50/day)
Nail Trim ($15.00)
Bath ($16.00)
Brushing ($3.50/day)
No

Pet 2 If you selected Extra Play time or Brushing Please Enter How Many Days you would like this service:

Information For 3 Pets

Pet 2 Pet's name*

Pet 3 Pet's name*

Pet 2 Feeding Instructions*

(ie. 1 cup of kibble twice daily)

Pet 3 Feeding Instructions*

(ie. 1 cup of kibble twice daily)

Pet 2 Does your pet have any food allergies?*

Pet 3 Does your pet have any food allergies?*

Pet 2 Should your pet refuse to eat, which diet alternative do you prefer?*

( Soak kibble? Another food from our retail at an additional cost? etc.)

Pet 3 Should your pet refuse to eat, which diet alternative do you prefer?*

( Soak kibble? Another food from our retail at an additional cost? etc.)

Pet 2 Is there anything we should know about your pet’s behaviour?*

(ie. Anxiety, Aggression, Energetic, etc.)

Pet 3 Is there anything we should know about your pet’s behaviour?*

(ie. Anxiety, Aggression, Energetic, etc.)

Pet 2 Has your pet ever bitten anyone? If yes, when?*

Pet 3 Has your pet ever bitten anyone? If yes, when?*

Pet 2 Does your pet have any medical conditions we should be aware of?*

(ie. Diabetic, Epileptic, etc.)

Pet 3 Does your pet have any medical conditions we should be aware of?*

(ie. Diabetic, Epileptic, etc.)

Pet 2 Does your pet require any medications? If yes, please list medication(s) and when they are given?*

(Please note that we always check for fleas on admission, if we find any signs of fleas on your pet, they will be treated at the owner’s expense).

Please note that if your pet requires medication while here there will be an extra charge of $5/day and if the medication is to be given by a technician only (eg. insulin), then the total boarding fee will be $31.00/day.

Pet 3 Does your pet require any medications? If yes, please list medication(s) and when they are given?*

(Please note that we always check for fleas on admission, if we find any signs of fleas on your pet, they will be treated at the owner’s expense).

Please note that if your pet requires medication while here there will be an extra charge of $5/day and if the medication is to be given by a technician only (eg. insulin), then the total boarding fee will be $31.00/day.

Pet 2 Would you like to have any of the following extras done at an additional cost?*

Extra Play time ($5.50/day)
Nail Trim ($15.00)
Bath ($16.00)
Brushing ($3.50/day)
No

Pet 3 Would you like to have any of the following extras done at an additional cost?*

Extra Play time ($5.50/day)
Nail Trim ($15.00)
Bath ($16.00)
Brushing ($3.50/day)
No

Pet 2 If you selected Extra Play time or Brushing Please Enter How Many Days you would like this service:

Pet 3 If you selected Extra Play time or Brushing Please Enter How Many Days you would like this service:

Information For 4 Pets

Pet 2 Pet's name*

Pet 3 Pet's name*

Pet 4 Pet's name*

Pet 2 Feeding Instructions*

(ie. 1 cup of kibble twice daily)

Pet 3 Feeding Instructions*

(ie. 1 cup of kibble twice daily)

Pet 4 Feeding Instructions*

(ie. 1 cup of kibble twice daily)

Pet 2 Does your pet have any food allergies?*

Pet 3 Does your pet have any food allergies?*

Pet 4 Does your pet have any food allergies?*

Pet 2 Should your pet refuse to eat, which diet alternative do you prefer?*

( Soak kibble? Another food from our retail at an additional cost? etc.)

Pet 3 Should your pet refuse to eat, which diet alternative do you prefer?*

( Soak kibble? Another food from our retail at an additional cost? etc.)

Pet 4 Should your pet refuse to eat, which diet alternative do you prefer?*

( Soak kibble? Another food from our retail at an additional cost? etc.)

Pet 2 Is there anything we should know about your pet’s behaviour?*

(ie. Anxiety, Aggression, Energetic, etc.)

Pet 3 Is there anything we should know about your pet’s behaviour?*

(ie. Anxiety, Aggression, Energetic, etc.)

Pet 4 Is there anything we should know about your pet’s behaviour?*

(ie. Anxiety, Aggression, Energetic, etc.)

Pet 2 Has your pet ever bitten anyone? If yes, when?*

Pet 3 Has your pet ever bitten anyone? If yes, when?*

Pet 4 Has your pet ever bitten anyone? If yes, when?*

Pet 2 Does your pet have any medical conditions we should be aware of?*

(ie. Diabetic, Epileptic, etc.)

Pet 3 Does your pet have any medical conditions we should be aware of?*

(ie. Diabetic, Epileptic, etc.)

Pet 4 Does your pet have any medical conditions we should be aware of?*

(ie. Diabetic, Epileptic, etc.)

Pet 2 Does your pet require any medications? If yes, please list medication(s) and when they are given?*

(Please note that we always check for fleas on admission, if we find any signs of fleas on your pet, they will be treated at the owner’s expense).

Please note that if your pet requires medication while here there will be an extra charge of $5/day and if the medication is to be given by a technician only (eg. insulin), then the total boarding fee will be $31.00/day.

Pet 3 Does your pet require any medications? If yes, please list medication(s) and when they are given?*

(Please note that we always check for fleas on admission, if we find any signs of fleas on your pet, they will be treated at the owner’s expense).

Please note that if your pet requires medication while here there will be an extra charge of $5/day and if the medication is to be given by a technician only (eg. insulin), then the total boarding fee will be $31.00/day.

Pet 4 Does your pet require any medications? If yes, please list medication(s) and when they are given?*

(Please note that we always check for fleas on admission, if we find any signs of fleas on your pet, they will be treated at the owner’s expense).

Please note that if your pet requires medication while here there will be an extra charge of $5/day and if the medication is to be given by a technician only (eg. insulin), then the total boarding fee will be $31.00/day.

Pet 2 Would you like to have any of the following extras done at an additional cost?*

Extra Play time ($5.50/day)
Nail Trim ($15.00)
Bath ($16.00)
Brushing ($3.50/day)

Pet 3 Would you like to have any of the following extras done at an additional cost?*

Extra Play time ($5.50/day)
Nail Trim ($15.00)
Bath ($16.00)
Brushing ($3.50/day)
No

Pet 4 Would you like to have any of the following extras done at an additional cost?*

Extra Play time ($5.50/day)
Nail Trim ($15.00)
Bath ($16.00)
Brushing ($3.50/day)
No

Pet 2 If you selected Extra Play time or Brushing Please Enter How Many Days you would like this service:

Pet 3 If you selected Extra Play time or Brushing Please Enter How Many Days you would like this service:

Pet 4 If you selected Extra Play time or Brushing Please Enter How Many Days you would like this service:

Information For 5 Pets

Pet 2 Pet's name*

Pet 3 Pet's name*

Pet 4 Pet's name*

Pet 5 Pet's name*

Pet 2 Feeding Instructions*

(ie. 1 cup of kibble twice daily)

Pet 3 Feeding Instructions*

(ie. 1 cup of kibble twice daily)

Pet 4 Feeding Instructions*

(ie. 1 cup of kibble twice daily)

Pet 5 Feeding Instructions*

(ie. 1 cup of kibble twice daily)

Pet 2 Does your pet have any food allergies?*

Pet 3 Does your pet have any food allergies?*

Pet 4 Does your pet have any food allergies?*

Pet 5 Does your pet have any food allergies?*

Pet 2 Should your pet refuse to eat, which diet alternative do you prefer?*

( Soak kibble? Another food from our retail at an additional cost? etc.)

Pet 3 Should your pet refuse to eat, which diet alternative do you prefer?*

( Soak kibble? Another food from our retail at an additional cost? etc.)

Pet 4 Should your pet refuse to eat, which diet alternative do you prefer?*

( Soak kibble? Another food from our retail at an additional cost? etc.)

Pet 5 Should your pet refuse to eat, which diet alternative do you prefer?*

( Soak kibble? Another food from our retail at an additional cost? etc.)

Pet 2 Is there anything we should know about your pet’s behaviour?*

(ie. Anxiety, Aggression, Energetic, etc.)

Pet 3 Is there anything we should know about your pet’s behaviour?*

(ie. Anxiety, Aggression, Energetic, etc.)

Pet 4 Is there anything we should know about your pet’s behaviour?*

(ie. Anxiety, Aggression, Energetic, etc.)

Pet 5 Is there anything we should know about your pet’s behaviour?*

(ie. Anxiety, Aggression, Energetic, etc.)

Pet 2 Has your pet ever bitten anyone? If yes, when?*

Pet 3 Has your pet ever bitten anyone? If yes, when?*

Pet 4 Has your pet ever bitten anyone? If yes, when?*

Pet 5 Has your pet ever bitten anyone? If yes, when?*

Pet 2 Does your pet have any medical conditions we should be aware of?*

(ie. Diabetic, Epileptic, etc.)

Pet 3 Does your pet have any medical conditions we should be aware of?*

(ie. Diabetic, Epileptic, etc.)

Pet 4 Does your pet have any medical conditions we should be aware of?*

(ie. Diabetic, Epileptic, etc.)

Pet 5 Does your pet have any medical conditions we should be aware of?*

(ie. Diabetic, Epileptic, etc.)

Pet 2 Does your pet require any medications? If yes, please list medication(s) and when they are given?*

(Please note that we always check for fleas on admission, if we find any signs of fleas on your pet, they will be treated at the owner’s expense).

Please note that if your pet requires medication while here there will be an extra charge of $5/day and if the medication is to be given by a technician only (eg. insulin), then the total boarding fee will be $31.00/day.

Pet 3 Does your pet require any medications? If yes, please list medication(s) and when they are given?*

(Please note that we always check for fleas on admission, if we find any signs of fleas on your pet, they will be treated at the owner’s expense).

Please note that if your pet requires medication while here there will be an extra charge of $5/day and if the medication is to be given by a technician only (eg. insulin), then the total boarding fee will be $31.00/day.

Pet 4 Does your pet require any medications? If yes, please list medication(s) and when they are given?*

(Please note that we always check for fleas on admission, if we find any signs of fleas on your pet, they will be treated at the owner’s expense).

Please note that if your pet requires medication while here there will be an extra charge of $5/day and if the medication is to be given by a technician only (eg. insulin), then the total boarding fee will be $31.00/day.

Pet 5 Does your pet require any medications? If yes, please list medication(s) and when they are given?*

(Please note that we always check for fleas on admission, if we find any signs of fleas on your pet, they will be treated at the owner’s expense).

Please note that if your pet requires medication while here there will be an extra charge of $5/day and if the medication is to be given by a technician only (eg. insulin), then the total boarding fee will be $31.00/day.

Pet 2 Would you like to have any of the following extras done at an additional cost?*

Extra Play time ($5.50/day)
Nail Trim ($15.00)
Bath ($16.00)
Brushing ($3.50/day)
No

Pet 3 Would you like to have any of the following extras done at an additional cost?*

Extra Play time ($5.50/day)
Nail Trim ($15.00)
Bath ($16.00)
Brushing ($3.50/day)
No

Pet 4 Would you like to have any of the following extras done at an additional cost?*

Extra Play time ($5.50/day)
Nail Trim ($15.00)
Bath ($16.00)
Brushing ($3.50/day)
No

Pet 5 Would you like to have any of the following extras done at an additional cost?*

Extra Play time ($5.50/day)
Nail Trim ($15.00)
Bath ($16.00)
Brushing ($3.50/day)
No

Pet 2 If you selected Extra Play time or Brushing Please Enter How Many Days you would like this service:

Pet 3 If you selected Extra Play time or Brushing Please Enter How Many Days you would like this service:

Pet 4 If you selected Extra Play time or Brushing Please Enter How Many Days you would like this service:

Pet 5 If you selected Extra Play time or Brushing Please Enter How Many Days you would like this service:

Additional Information

Primary phone number*

Who primary phone number belongs to*

First Last

Alternative phone/email address*

Who alternative phone number/email address belongs to*

First Last

I am the owner/representative of the above mentioned pet. I am 18 years of age or older and I have the authority to give consent. I have agreed to the above procedures and related clinic fees. I understand that a deposit may be required and the entire balance is due when the pet is picked up. I also under stand that unforeseen conditions may be revealed during my pets stay, in which my pet may require different treatments or procedures. I understand that reasonable efforts will be made to contact me to explain these procedures and treatments, and to obtain my instructions regarding them. If efforts are unsuccessful, I authorize the performance of any procedures or treatments which are necessary in the professional opinion of the veterinarian. We take all precautions within our boarding facility. We require all pets to be completely vaccinated prior to being admitting. Since immunity varies with the circumstances, and the pets overall health, no vaccine is 100% there are minimal risks due to the fact we are a hospital and viruses can be present and your pet may be exposed. Some pets become stressed which can result in diarrhea. I have been made aware of these risks,I authorize the performance of any procedures or treatments which are necessary in the professional opinion of the veterinarian. If my pet is found to have fleas and/or ticks, they will be treated at the owners expense. Should the circumstances arise that my pet(s) remains unclaimed after the date stated as the pick-up date, I understand that written notice will be mailed to the address on file. Seven days after such notice, the pet(s) will be considered abandoned and may be surrendered to a different facility. It is further understood that such action will not relieve me from paying all costs of services.

1. All vaccinations must be up to date including Kennel cough vaccination. A proof of vaccinations in the form of a certificate is required for non clients.
2. If pet requires vet care while staying then a vet consultation and other charges will apply depend on the condition of the pet
3. We will provide clean bedding and don’t accept bedding/blankets/toys/raw hides from home
4. Client will be charged for the day that their pet arrives and must be picked up before 12 noon the day of pick up. After 12 pm a full day charge will apply.
5. Boarding price includes twice daily feeding, clean bedding, room and 4-5 walks daily. Owner can request extra walks
6. Extras costs are; nail trimming, bathing, extra play time, food charges (if you fail to bring your own) and medication administration
7. Owners bringing medication in with their pet MUST bring the medication in the original container with label instructions (to confirm proper dosage)
8. Pets must be brought with collar, we will admit with our leash
9. All owners must arrive ½ hour before their drop off time to do paper work
10. Owners are responsible for bringing their own pet food to prevent stomach upsets; otherwise if you forget your food, you will need to purchase a bag from our retail store.
11. Please settle your bill first since pets may get excited to see you. Also let the employees know that if you brought in any medications.
12. If reservations are to be extended/ shortened, please give office a call so that the pet can be accommodated.
13. All boarding forms must be submitted 48 hours prior to appointment. If you are submitting this form and it is under the 48 hour mark please call us to ensure receipt of this form.
14. At time of drop-off the receptionist will go over your form and have you sign an estimate.

Digital Signature (Your Name)*

Date*

Monday	7:00am – 10:00pm
Tuesday	7:00am – 10:00pm
Wednesday	7:00am – 10:00pm
Thursday	7:00am – 10:00pm
Friday	7:00am – 10:00pm
Saturday	8:00am – 8:00pm
Sunday	8:00am – 8:00pm

Contact Us

Please make sure you have scheduled your pet’s stay with us before filling out this form.

All new clients must pay a 75% deposit for the first 3 vacations, after that, no deposit will be required.