Boarding Admission Form (multiple pets)

Boarding Admission Form (multiple pets)

Hopewell Veterinary Hospital
Pet Owner

First Name Last Name
Phone 1
During boarding
Email
example@example.com
Co-Owner/Spouse

First Name Last Name
Phone 2
During boarding
Alternate Emergency Contact if you cannot be reached

First Name Last Name
Alt Contact Phone
During boarding

Pet 1 Name
Pet 1 Species

Dog Cat
Pets are typically fed twice a day in the morning and in the evening. We suggest bringing your pet's typical food from home. Dogs that do not have their own food will be given Hill's Sensitive Stomach dry food. Cats that do not have their own food will be given Hill's cat food. Pets other than dogs and cats (birds, reptiles, small mammals) must bring own food and their cage/house.
Are you bringing Pet 1's own food?

Yes No
Pet 1 Feeding Instructions
Type, Amount, Special requests, etc
Does Pet 1 need medication while boarding?

Yes No
Pet 1 Medication Instructions
List each medication, dose, time to be given, etc
Does Pet 1 have Any Known Allergies?
Other comments or things we should know about Pet 1:
Are you dropping off more than one pet?

Pet 2 Name
Pet 2 Species

Dog Cat
Are you bringing Pet 2's own food?

Yes No
Pet 2 Feeding Instructions
Type, Amount, Special requests, etc
Does Pet 2 need medication while boarding?

Yes No
Pet 2 Medication Instructions
List each medication, dose, time to be given, etc
Does Pet 2 have Any Known Allergies?
Other comments or things we should know about Pet 2:
Are you dropping off more than two pets?

Pet 3 Name
Pet 3 Species

Dog Cat
Are you bringing Pet 3's own food?

Yes No
Pet 3 Feeding Instructions
Type, Amount, Special requests, etc
Does Pet 3 need medication while boarding?

Yes No
Pet 3 Medication Instructions
List each medication, dose, time to be given, etc
Does Pet 3 have Any Known Allergies?
Other comments or things we should know about Pet 3:
Are you dropping off more than three pets?

Pet 4 Name
Pet 4 Species

Dog Cat
Are you bringing Pet 4's own food?

Yes No
Pet 4 Feeding Instructions
Type, Amount, Special requests, etc
Does Pet 4 need medication while boarding?

Yes No
Pet 4 Medication Instructions
List each medication, dose, time to be given, etc
Does Pet 4 have Any Known Allergies?
Other comments or things we should know about Pet 4:
If you are dropping off more than 4 pets, please sign, hit submit and start a new form for additional pets!

Policies
- Hours: Please arrive at least a half hour before closing time for check-in/check-out
  - Monday - Friday 8am-9pm
  - Saturday 8am-1pm
  - Sunday Closed
- Check In/Check Out time is 12pm: Pets dropped off before noon when arriving or picked up after noon when departing will be charged for an extra half day
- Food: Pets do best when they eat their regular food during boarding. Please bring your pet's food and any treats labeled with their name. Otherwise, pets will be fed Hill's dog or cat food
- Please do not bring blankets, beds or toys
- Pets other than cats or dogs must be in their own enclosure (cage or tank) and owners must provide their food.
In case of illness or injury, I do hereby give my consent for Hopewell Veterinary Hospital to treat, prescribe for, or operate upon my pet(s) while they are being boarded. The hospital is to use all reasonable precautions against illness or escape of my pet(s), but the hospital will not be held liable under any circumstances on account of the care, treatment or safekeeping of my pet(s) as it is thoroughly understood that I assume all risks with regard to disease or injury, including those associated with aged pets.

I understand that by PA state law, all dogs are required to have a license (available through county of residence). If my dog is not licensed, I understand that I am responsible for payment of the fine and costs that may be charged for my pet in the event that Hopewell is auditted for dog licenses during my pet's stay.

Should circumstances arise that my pet(s) remain unclaimed after the date which I have stated as the pick-up date, I understand that written notice will be mailed. Fourteen days after such written notice, the pet(s) will be considered abandonded. It is further c that such action will not relieve me of paying the costs of all your services, including the cost of boarding.

I understand that Hopewell Veterinary Hospital does not allow personal items other than food or medication to be left with my pet(s). Hopewell Veterinary Hospital is not responsible for any such items. For the safety of your pet(s), we do not allow choker or prong collars to be left on dogs.
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