Boarding Agreement
Today's Date
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Month
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Day
Year
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Owner's Name
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First Name
Last Name
Phone Number
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Area Code
Phone Number
Email
example@example.com
While boarding, your dog will get 6 walks and 2 treats per day.
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Grand Key West $97.00 per night $65.00 per night additional pet
Key West $80.00 per night $65.00 per night additional pet
Medically Supervised Boarding (please ask a receptionist for information on charges and requirements.
Cat Key West Cottage $42.00 First Cat $28.00 Second Cat
Pets Name (List all that are boarding)
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Admission Date
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Month
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Year
Date
Discharge Date
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Month
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Emergency Contact Name (If different from owner's name)
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First Name
Last Name
Emergency Phone Number
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Area Code
Phone Number
All animals admitted must be current on vaccinations including influenza and free from internal and external parasites. Any animal found to have parasites will be treated at the owners expense.
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(Please initial stating that you understand)
All pets will receive a bath on the day they are scheduled to go home at an additional charge, based on their weight.
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(Please initial stating you understand)
There are additional charges for administering medications to your pet while in our care. The charge for administering medication is $3.50 per administration. *All medications brought in for boarding must be in original containers*
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(Please initial stating you understand)
Will your pet require medications while boarding with us? If so please list medications below with their instructions.
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Does your pet need medical treatments while boarding? Exam, vaccines, etc.
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OPTION A: I authorize Brookside Animal Hospital to treat my pet/s as needed. OPTION B: Call me at the number below for permission, however if after you have tried 2 times to contact me and I haven't responded I authorize you to treat my pet/s as needed. For example diarrhea, ear infection, anxiety issues etc. (Please indicate which Option in the field below and provide a phone number)
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Should an EMERGENCY arise, I authorize the medical staff to sedate my pet and /or perform such emergency procedures as may be necessary for the health of my pet until I can be notified. I agree to pay, in full, all the charges for necessary services rendered for and to my pet. I understand the hospital is not responsible for loss or damage to personal items left with the pet including but not limited to: leashes, collars, toys, and bedding. The hospital is to use all reasonable precaution against injury, escape, or death of my pet. The hospital and staff will not be held liable for any problems that develop. I understand that any problem that develops with my pet will be treated as noted above and I assume full responsibility for the treatment expense incurred.
I Agree
Any pet found to have external parasites will be bathed upon arrival in addition to the discharge bath and be given a Nexgard tablet or appropriate flea/tick preventative at the owners expense. On the weekdays, drop off and pick up is from Noon - 6:30pm and on weekends, drop off and pick is from 11:00am - Close. (On weekends we closed for lunch between Noon - 1:00pm)
I agree
The clinic is not responsible for any lost/damaged personal belongings left with your pet. We will do our best to not send home soiled belongings but based on timing/pick up it may happen. Please understand that there is a possibility that bedding/blankets could be returned to owners soiled. Please describe all belongings you plan on leaving with your pet. We have plenty of bedding, blankets and toys that are cleaned and sanitized to use while boarding. However if there is something you must bring in please list below.
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Please label all belongings!
What are your pets feeding instructions?
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Own food/kennel dry food, how much, how often?
Has your pet had any coughing or sneezing? (Signs of an upper respiratory infection?)
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Is there anything else you would like us to know about your pet while they are boarding?
I fully intend to pick up my pet on or around the above date specified. If circumstances arise which require a change in dates, I will notify the veterinary hospital of a new pick up date. Reasonable precautions will be used against injury or death of your pet while boarding. Brookside Animal Hospital and staff will not be held liable for problems that my develop during your pet's stay provided reasonable care and precautions are followed. I understand that any problems that may develop with my pet while boarding will be treated as deemed best by the staff and veterinarians. I assume full responsibility for all expenses incurred. All costs shall be paid on release of the pet for boarding and all other treatment necessary.
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(Please initial stating that you understand)
Signature of Owner/Agent
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(Please print your name stating that you understand)
Today's Date
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Month
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Day
Year
Date
Submit
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