Boarding Check-In Form

Boarding Check-in
Client Name
Pet Name
Contact Phone
Contact Email
example@example.com
Would you like to receive an update during your pet's stay?

Yes (above phone number and email address will be used to contact you)No
If yes, would you prefer us to:

Email meText me
Please ensure that your emergency contact is aware that you have given their name and is willing & able to make decisions regarding the care and well-being of your pet.
Emergency Contact/Alternative Pick up Name
Emergency Contact/Alternative Pick-up Phone:
Check in Date

MonthDayYear
Date
Check out Date

MonthDayYear
Date
Pick up Time:* (by 1PM or 1/2 day charge will apply)
Extra Comforts and Playtime
I want my pet to receive INDIVIDUAL PLAY TIME. (Additional cost of $11.00)
If yes, how many days?
I want my pet to receive a TUCK-IN TREAT. (Additional cost of $3.25)
If yes, how many nights?
Please list any Personal Belongings:
Medications
Note: Medications must be in the original container. If medications are not provided, you will be charged at current rate.

Medication Administration Fee $5.50 per day
Medication 1 Name (and reason):
Medication 1 Dosage:
Medication 1 Instructions:
Medication 1 Date & Time Last Given:
Medication 2 Name (and reason):
Medication 2 Dosage:
Medication 2 Instructions:
Medication 2 Date & Time Last Given:
Medication 3 Name (and reason):
Medication 3 Dosage:
Medication 3 Instructions:
Mediation 3 Date & Time Last Given:
Additional Requested Services
Please check all that apply:

Nail TrimEar cleaningAnal sac expressionBath*Exam with Dr. (please fill out separate medical questionnaire upon arrival)Other
*Baths are charged based on patient's weight. Discounted $5 if 3 or more night stay & late pick-up fee waived
Authorized Signature

Clear
Date

MonthDayYear
Should be Empty:

Boarding Check-in

Extra Comforts and Playtime

Medications

Additional Requested Services