Boarding Form

Boarding Form

THREE RIVERS ANIMAL HOSPITAL
Client Name *

First Name Last Name
Pet Name *
Please text me updates and pictures of my pet while boarding *

Yes No
Phone Number *

Area Code Phone Number
Use the Above Number to Text Pictures to Me

Yes I have provided a different number in the next box
Alternate Phone Number

Area Code Phone Number
Arrival Date *

Month Day Year
Date
Approximate Time for Arrival (if known)

Morning (7:30AM-10AM) Mid-day (10AM-2PM) - On Saturday we close at Noon Afternoon (2PM-5:30PM)- Not available on Saturday
Departure Date *

Month Day Year
Date
Approximate Time for Departure (if known)

Morning (7:30AM-10AM) Mid-day (10AM-2PM)- On Saturday we close at Noon Afternoon (2PM-5:30PM)- Not available on Saturday
Please board my pet in: *

Metal Kennel Boarding(0-50#)/ $20 Large Indoor Run (3'x4')/ $30 Extra Large Indoor Run (4'x4')/ $35 Cat Condo/ $15
For multiple pets please board:

Together in One Kennel In Separate kennels
For multiple pets please walk:

Separately Together
Personal items left with pet:
Does your pet have any behavioral concerns that we need to be aware of (i.e. biting, thunderstorm anxiety or separation anxiety)?
Feeding Instructions

Let us know your pet's routine. We typically feed a sensitive stomach dry veterinary diet to all feline/canine boarders.
Are you bringing your pet's diet from home?

Yes No
Is your pet on a special diet? Name of Special Diet?
How many cups per feeding?
Feeding times per day?

Once Twice
Any special feeding instruction?
Medication Instructions

Let us know your pet's routine.
Please list any medications including name, dose, frequency and time of last dose:
Please note there is a $3/day fee to dispense medication and $5/day fee for diabetics
Has your pet been medicated today?

Yes No
For Once a Day Medication:

AM PM
My pet will need a refill on medication during the stay. Please indicate which medications you need refilled.
Additional Services Requested
Does your pet need an examination by a doctor?

Yes No
If yes, please explain
Would you like for your pet to receive any of these services while boarding?

Bath- includes ear cleaning, bath, conditioner if needed, brushout ($ based on weight) Medicated Bath $10 (added onto any bathing service-bath must be selected also) De-shed Treatment $15 (added onto any bathing service- bath must be selected also) Spa Package-includes blueberry facial, paw soak, paw butter, massage - All Natural Antiseptic and Antifungal $15 (added onto any bathing service-bath must be selected also) Groom ($ based on breed)- based on availability (currently we are booked 3-4 months out) Nail Trim $12 Nail Trim and File $25 Microchip $50 Anal Gland Expression $15 Ear Cleaning $12 Brush Teeth $5 All Natural Stress Away Chews during their stay $3
Typically all bathing/grooming services requested are done the same day as departure, we will contact you after the services are complete when they are ready for pickup- for all pets departing on Saturday additional requested services are preformed the Friday before departure.

I plan to pick my pet up early on departure day, please make sure the additional requested services are done the day before departure Please complete any additional requested services the day of departure
I understand that should an injury/illness occur while my pet is boarded, Three Rivers Animal Hospital (TRAH) will make every effort to contact me prior to treatment. Should Three Rivers Animal Hospital Cell be unable to reach me, I grant permission to provide any necessary health care for my pet at my expense. I agree that I release Three Rivers Animal Hospital Cell from responsibility or liability in the event of injury to or onset of illness in my pet while in their care. *

Agree
I understand that TRAH is not open 24 hours a day and that there will be a period of time overnight in which no staff will be on premises. *

Agree
I understand that if evidence of external parasites are found on my pet during its stay, appropriate treatment will be administered at my expense. *

Agree
I understand TRAH is not responsible for any personal items being lost or damaged. Soiled items too big to machine wash will be placed in a bag and sent home soiled. *

Agree
I understand that if my pet(s) remained unclaimed 10 days after pick up date, they will be considered abandoned. I understand such action will not relieve me from paying accrued fees. *

Agree
I understand there is a $10 late pick up fee after 2PM on the departure date. The late fee does not apply to pets getting bathing or grooming services. *

Agree
Signature *

Clear
Date *

Month Day Year
Date
Please verify that you are human *
Should be Empty:

Boarding Form

Feeding Instructions

Medication Instructions

Additional Services Requested