Boarding Release Form

Client Name

Pet Name

Date

Please complete the following section to remain on file for future visits.

Dietary Instructions - Please feed:

If Once Daily, please select:

Amount to be fed at each feeding

Type of Food:

If my pet is not eating well while away from home, it is ok to entice them with flavor additives:

ITAH's beds/towels are ok to leave with my pet for comfort (note that some pets may chew and ingest pieces, which may be a danger to their health):

Please complete the following section if you may ever add extra comforts for your pet:

If I elect INDIVIDUAL PLAY TIMES at an additional cost of $11.00 per session, my preferred activities would be:

If I elect my pet to receive TUCK-IN TREATS at an additional cost of $3.25 per night, please provide:

Please list any medical conditions or health concerns our team needs to be aware of while your pet is staying with us:

Please read & initial each of the following statements acknowledging acceptance of our boarding requirements:

All PETS ADMITTED MUST BE CURRENT ON THEIR PHYSICAL EXAMINATION BY A DOCTOR OF ITAH and their core vaccinations must be up to date (DHPP, Bordetella, Rabies for dogs; FVRCP, Rabies for Cats). In addition, due to common walking and play areas, dogs must also be current on an intestinal parasite exam. If your pet is past due, he/she will be examined and given necessary vaccinations upon admission and current charges will apply.

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Pets must be free of external parasites. Pets found to have evidence of parasites will be treated at owner's expense.

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Personal belongings may be left with pets but should be limited to one blanket and one toy per pet.

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Check in time for boarding guests is after 3pm. Check out time is by 1pm. This allows our team time to properly sanitize after other boarding guests check out. Early drop off & extended pick up are available at a half day rate. (Extended pick up fee waived for pets receiving bath on discharge day)

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While you are away, which would be your preference as it pertains to any health concerns that may arise while your pet is boarding with us? (most commonly, ear infections & GI upset)Please select one of the following options:

** If your pet exhibits signs of stress and anxiety, may we administer medication at the discretion of the veterinarian to make him/her more comfortable?

LEGAL:

Any pet not claimed within ten (10) days of pick-up date, without new provisions being made, will be considered abandoned, and becomes the property of Indian Trail Animal Hospital and handled according to our best judgment.

The undersigned hereby warrants that they are the owner or authorized agent for the pet listed in this record and does consent and authorize Indian Trail Animal Hospital to care for and treat said pet. If an emergency situation arises, I authorize services, including the use of anesthesia if necessary, to treat my pet until such time as I can be contacted. I understand that every reasonable effort will be made to contact me as soon as possible if an emergency or unanticipated situation arises with my pet. If I am unable to be reached, I authorize the veterinarians to proceed with treatment as deemed necessary for the well-being of my pet. I understand I will be responsible for all charges incurred at checkout.

Authorized Signature

Date

Boarding Release

BASIC COMFORTS :