Canine Boarding Form

Canine Boarding Form

Please fill out one for each pet boarding with us.
Client's Name*

First NameLast Name
Client's Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Client's Phone Number*
Please enter a valid phone number.
Alternate Phone Number (if applicable)
Please enter a valid phone number.
Client's Email Address*
example@example.com
Name of Emergency Contact*

First NameLast Name
Emergency Contact Phone Number*
Please enter a valid phone number.
Name of person picking up pet if other than those named on the account.
Check-in Date*

MonthDayYear
Date
Check-out Date*

MonthDayYear
Date
Pet's Name*
Gender*
Reservation Type: (please select one)*

Regular Run ($30/night)Double Run ($40/night)Diabetic Boarding (starts at $50/night)Hospitalized or Isolated Boarding (speak to one of our staff members to discuss costs)Themed Room: Paris ($50/night)Themed Room: Barkaritaville ($50/night)Themed Room: ECU ($50/night)Themed Room: Great Woof Lodge ($50/night)Themed Room: Dogs of Thrones ($50/night)Themed Room: Space ($50/night)
Please pick one:*

I'm providing food from home for my dog.Please feed my dog the in-house food. (Hill's Science Diet Sensitive Stomach & Skin)
Please note: If food is provided but there is not enough for the pet's entire stay with us, we will provide food for the remainder of their stay.
Please provide additional information regarding your pet's feeding. (how much, how many times a day, any additional feeding instructions, etc) If you are bringing food or treats from home, please provide the name and the description of the container/bag you are bringing it in. If you selected in-house food, please put "N/A."*
Is your pet currently on any chronic medications?*

YesNo
If you selected "YES," that your pet is on chronic medications, please list each medication below along with the dispensing directions (ex: 1 tablet twice daily). If the medication is given once daily, please specify if it is given in the morning or the evening. If no medications are being given, please put "N/A."*
List any specific handling instructions or precautions to be taken with your pet during their stay here: (if none, please put N/A)*
Additional requested services:*

Nail trim ($23.10)Kennel Bath (performed by kennel technician, includes nail trim & ear cleaning) ($42)Courtesy Kennel Bath (for boarding reservations of 7 nights or more)None
When would you like for the additional service to be performed during your pet's stay?

MonthDayYear
Date
Does your pet need an exam while boarding with us? *Please note: a physical exam is done with a DHLPP vaccine. If your pet is set to receive this vaccine while boarding with us, an exam will be done.*

YesNo
If you selected "YES," that your pet needs an exam while boarding, please give a detailed description for the veterinarian regarding what's going on with your pet. If an exam is not needed, please put "N/A." *
- I acknowledge that Animal Care of Greenville is a "flea-free" facility and, in order to maintain this, each boarding patient will be assessed for fleas upon arrival and given a Simparica TRIO tablet, to kill any live fleas or ticks found, at the owner's expense.
- I acknowledge that boarding departure hours are Monday through Friday: 7:30am - 9:30am and 3:00pm - 5:30pm.
  - Pets that are not picked up by 5:30pm will be charged for an additional night of boarding.
- I acknowledge that charges are per night.
  - There is one charge per pet, per night, even if the pets are housed in a single enclosure.
  - There is a charge for the first night of arrival, regardless of the time of arrival.
- I acknowledge that proof of vaccinations that meet the requirements of all Animal Care of Greenville boarders are required. If proof is not provided, doctors of ACG will administer necessary vaccines, including required physical exam and fecal testing, at the owner's expense.
- I acknowledge that Animal Care of Greenville will attempt to contact me in the event that unexpected medical attention is deemed necessary by the medical staff.
Medical Care Policies

*Please Note*: These services will come at an additional charge. Pets are not monitored outside of normal business hours.

Non-emergent Medical Care Policy
In the event that a non-emergent medical problem arises while your pet is staying with us, Animal Care of Greenville will attempt to contact you, at the emergency contact numbers that were given to us, prior to administering medical treatment. If we have not heard from you within 24 hours, Animal Care of Greenville will proceed with treatment deemed medically necessary.*

I have read and acknowledge the above policy in regards to how Animal Care of Greenville will proceed with care in the event that a non-emergent medical problem should arise.
If we have not heard from you within 24 hours, Animal Care of Greenville will proceed with treatment deemed medically necessary.

Medical Emergency Care Policy
In the event that your pet has a medical emergency, Animal Care of Greenville will begin emergency care and attempt to contact you at the emergency numbers that were given to us.*

I have read and acknowledge the above policy in regards to how Animal Care of Greenville will proceed with care in the event that a medical emergency should occur.
Best way to contact you: (please select all that apply)*

Cell phoneTextWork PhoneHome PhoneEmail
Please provide any additional information needed for above selected contact methods. (work phone number, home phone number, best number to text, etc.)
- Adult Dogs: Must be current on Rabies, DHLPP/DHPP, Bordetella, and have a negative fecal test within the past 12 months.
- Puppies: Must be at least 12 weeks of age and have received (2) DHPP/DHLPP vaccines, Bordetella, and have a negative fecal test.
All vaccines must have been administered by a licensed veterinarian. Pets may have the exams and vaccinations completed at Animal Care of Greenville, or the client must present written proof of current vaccinations/tests for each pet prior to boarding & grooming services. Although obviously sick or unvaccinated pets are not permitted to receive boarding and grooming services, the client acknowledges that they are placing their pets into an area in which communicable diseases may pass between seemingly healthly pets. If following a provided service date, the pet shows signs of illness, the client may not hold Animal Care of Greenville liable for any inadvertant exposure the pet may have received, and that if the client requests an exam, treatment, or medications for the pet that it will be provided by Animal Care of Greenville at full cost to the client.

Cost of vaccines:
- DHPP/DHLPP: $71.80
- Bordetella: $23.10
- Rabies: $16.80 (1 year), $33.60 (3 year)
- Fecal Test: $30.00
In order to keep our staff and your pet as safe as possible we do require a negative intestinal parasite check that has been done in the last year. This is due to the fact that many intestinal parasites that pets carry are transmittable to humans. We also require this in order to keep our walking yards as clean and intestinal parasite free as possible. Please drop off a fecal sample at least 72 hours before your patient's arrival to the hospital. If you have any questions or concerns about this protocol please give us a call.
ACG Vaccine Policy*

If I have not provided proof of current vaccinations or my pet is not current on the vaccines listed above, I understand they will be given and I will be responsible for these additional charges when I pick up.
Flea-Free Policy*

I understand that if my pet is found to have fleas on the day they are admitted to the hospital, that they will be treated for fleas at my expense. This enables us to keep our hospital flea-free. (Simparica TRIO tablet - $31-$36)
Kennel Cough Risk Acknowledgement

As of Friday, November 4, 2022, we have seen and treated several confirmed cases of Kennel Cough in our office over the past two weeks. Some of these were patients that boarded with us, while some came from other boarding facilities. While we have been diligently cleaning, disinfecting, and isolating/sending home active cases that have been suspected in our boarding facility, Kennel Cough is airborne and can be difficult to fully eradicate.

The holidays are approaching, and we are quickly filling up with boarding reservations. We wanted to be open and transparent regarding these recent cases and ask that if you have an upcoming reservation and notice that your pet is coughing or sneezing to please reach out prior to your check-in date. In addition to this, if you have an upcoming boarding reservation and have any questions or concerns, please reach out to our office. There is a significant risk of your pet developing respiratory disease after boarding with any facility at this time. If you elect to proceed with boarding your pet, please monitor for signs of coughing, sneezing, retching/vomiting, lethargy, inappetence, etc, for up to 21 days following their reservation.
Kennel Cough Risk Acknowledgement*

I understand the risks involved with boarding my pet at this time and elect to continue with my boarding reservation.
Photo Release Form

We would love to feature your pet on our social media sites, website, etc. - but we need your permission! Please read below and let us know if we have permission to take pictures and videos to capture your pet's experience with our team. Don't worry, we will always get their good side!
I am the owner / agent of the owner of the animal identified above, and do hereby consent and agree that Animal Care of Greenville, its employees, or agents have the right to take photographs, videotape, or digital recordings of my pet and to use these in any and all media, now or hereafter known, and exclusively for the purpose of putting pictures of our patients on our website, social media, and within our newsletter. I further consent that my pet's name and identity may be revealed therein or by descriptive text or commentary. This consent remains in full force and effect unless and until I provide a written revocation of the consent. I do hereby release to Animal Care of Greenville, its agents, and employees all rights to exhibit this work in print and electronic form publicly or privately. I waive any rights, claims, or interest I may have to control the use of my pet’s identity or likeness in whatever media used. I understand that there will be no financial or other remuneration for recording my pet, either for initial or subsequent transmission or playback. I represent that I am at least 18 years of age, have read and understand the foregoing statement, and am competent to execute this agreement.*

Yes! I grant permission to ACG to take and use photos/videos of my pet.No, please do not take or use photos/videos of my pet.
INFORMED CONSENT: I hereby consent and authorize Animal Care of Greenville to care for my pet in what way they deem appropriate. I understand that by placing my pet in their care that I agree to allow them to use their best judgment in working with my pet. I understand that my pet will not be directly monitored outside of normal business hours and I assume responsibility for injury, loss, or destruction by my pet regardless of the circumstance. By signing below, I understand that any estimate I am provided may not reflect the actual bill total. I understand that an estimate is meant to APPROXIMATE the final bill but may not be the exact figure of the final bill. I agree to pay in full for all services rendered via cash, credit card, or Care Credit at the time my pet is discharged. I understand that payment is due immediately upon receipt of the invoice.
Signature*

Clear
Date*

MonthDayYear
Date
Each boarding reservation includes a doggie bed, Hill's Science Diet dry food, three breaks per day, activity toys, and if needed, medication can be administered daily (all medications need to be in the original labeled containers with our guest’s name, strength and frequency of administration).

Everything is provided for the comfort of your dog, however, if you choose to bring personal belongings, they need to be permanently labeled with your dog’s name and last name prior to arrival at the resort. Animal Care of Greenville will not be held responsible for items misplaced or damaged. For the safety of our patients, blankets, towels, and rawhides will not be placed in with your dog while boarding with us.

Payment is due in full for all services when your dog is released on departure day. During busy seasons and holidays, a deposit may be required to schedule your dog's reservation.

We look forward to serving you and your dogs!
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