Boarding Pet Information & Consent Form

*Submitting this form is only the first step in creating your boarding reservation. A member of our staff will reach out to you and confirm your pets boarding stay within the next 48 hours. If you do not hear from a staff member within the next 48 hours please contact us.

Owner's Name*

First NameLast Name

Pet's Name*

First NameLast Name

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Phone Number*

Area CodePhone Number

E-mail*

Arrival - Date/Time*

MonthDayYear

Departure - Date/Time*

MonthDayYear

Vaccine Requirements

For the safety of your pets, we require the following vaccines:

Cats: Rabies, FVRCP, Bordetella (every 6 months)

Dogs: Rabies, DHLPP, Bordetella (every 6 months), Fecal Exam

Food to be offered during your pet's stay:*

Complimentary Kennel Food (Purina EN Pro Plan for sensitive stomachs.)Food Provided By Owner

How Often Does Your Pet Eat:*

Serving Size Per Meal:*

Please select any add on services you would like during your pet's stay:

Express Anal Glands $31Kennel Bath $25-$45Grooming (pending groomer availability)Nail Trim $22

Current Medications and Instructions: (Please include when medication was last given)

Do you have any special requests for your pet during their stay?

Parasite Policy: If any fleas, ticks, or other parasites are observed, that pet will be treated for these parasites at the owner's expense.

Boarding Illness Policy: In the event your pet becomes ill or a medical condition arises we will make every effort to contact you through the emergency phone numbers. If no one can be reached, we will begin treatment for your pet and update you when you are able to contact us.

Emergency Contact*

I hereby agree to the above Vaccine Policy, Parasite Policy and Boarding Illness Policy. I will not hold Hog Mountain Animal Hospital, the veterinarians, or any staff member liable for any complications that may arise. Please select yes to indicate that you understand and agree with the above information.*

YesNo

Signature*

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