Boarding Form Client:* PhoneAlternate phone/sPet Name: Species: Breed: Color: Today's Weight: Boarding dates: Additional half day charge will apply for pickup after 12 noon unless pet is scheduled for a bath. Belongings: (note: We are not responsible for lost or damaged items)Diet: Kennel Food Special Diet Own Treats Yes No How Often or Free Feed Medications: $5.00 per day medication administration chargePlease list all medications and instructions for dosageAll pets will be examined for fleas. If fleas are observed we will administer Capstar™ to kill the fleas. There will be a $8.75 charge for this setVice. Please InitialWe advise that your pet be on a product for continued flea control and intestinal parasite and heartworm prevention. Flea activity can increase upon returning to your home after the house has been vacant for a time (such as after a vacation.) Would you like to purchase this product Yes No Note: Dogs must have current heartworm test prior to application. I acknowledge and accept that my dog will be participating in the dog walking with other dogs. Accept Decline Would you like to schedule a Kennel Bath? Yes No There is an additional charge for this service. Please wait to be called before you pick up pet. PLEASE READ CAREFULLY: In the unlikely event that your pet becomes ill or injured during their stay, we will attempt to contact you prior to treatment. However, we cannot responsibly leave significant medical/health problems continue untreated. For Example: diarrhea, lameness, coughing, and serious itching. Any medical treatment and/or medications will be at the owner's expense. Signature Date MM slash DD slash YYYY EmailThis field is for validation purposes and should be left unchanged.
