Pet Boarding Instructions & Consent Form
Boarding Start
*
-
Month
-
Day
Year
Date
Hour Minutes
AM
PM
AM/PM Option
Boarding End
*
-
Month
-
Day
Year
Date
Hour Minutes
AM
PM
AM/PM Option
Pet Owner Information
Pet Owner's Name
*
First Name
Last Name
Pet Owner's Email
*
example@example.com
Pet Owner's/Emergency Phone Number
*
Please enter a valid phone number.
Pet Owner's Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Pet Information
Pet's Name
*
Breed Type
*
Color
Dog or Cat
*
Instructions
Diet and Feeding instructions
*
Enter own food, kennel food, proportions, number of times a day, etc.
Medications
Would you like your pet to have a BATH before going home? Our bath includes a nail trim, ear cleaning and anal gland expression.
*
YES
NO
NAIL TRIM ONLY
If more than one pet is boarding with us, will they be boarding together?
*
YES
NO
Would you like your pet to have any bedding while here?
*
YES
NO
Waiver & Consent
I confirm that I own the pet or I was given authority by the owner for taking ownership of the pet.
I confirm that my pet has updated vaccinations and if not, Alpharetta Animal Hospital will vaccinate for the required vaccines for boarding (Rabies, DHPP, Bordetella for canine and Rabies, FVRCP for feline).
I confirm that my pet is on monthly flea prevention or, if not, Alpharetta Animal Hospital can treat my pet(s) for fleas at owners expense.
If my pet needs medical attention, I authorize Alpharetta Animal Hospital to have it looked at by a veterinarian.
I confirmed that all information I entered in this form is true and accurate.
Signature
*
Date Signed
-
Month
-
Day
Year
Date
Submit
Any other services you want taken care of while your pet is here?
*
If your pet is having a SURGERY or DENTAL while boarding, please fill out our SURGERY RELEASE FORM as well.
Should be Empty: