K-9 Boarding Form

K-9 Boarding Form
K-9 Boarding Consent Form
Name

First Name Last Name
Email
example@example.com
Dog's Name(s)
Phone Number
Please enter a valid phone number.
Dates your dog will be staying with us
Date

MonthDay Year
Date
Date

MonthDay Year
Date
Is your pet on a flea prevention?*

YesNo
If we see fleas or ticks on your animal, we will administer a prevention at your cost. $35
Where were your dogs vaccines administered? Must be current on Rabies, Distemper, Bordetella and K-9 Influenza.
If your pet becomes ill, do you give Belmont Vet the right to treat as necessary? We will also try and contact you to discuss treatment.*

YesNo
If your pet needs life saving measures do you give Belmont Vet the right to try and*

Resuscitate my petDO NOT Resuscitate
Is your Dog pet friendly?*

YesNoUnsure
Do you want your Dog to play with others? If yes, please understand that there are risks to social play and if your pet becomes injured you are responsible for said injury.*

YesNo
Does your dog have any known aggressions? (i.e., food, kennel, toy, etc.)
Do you give Belmont the right to take photos of your pet, for social media?*

YesNo
Does your dog have any food allergies?

YesNo
If yes, explain:
Is your dog on any medication?

YesNo
If yes, what medication and how often do you give it? We do charge a $6 fee to administer medication each time we have to give the medication. (Insulin has additional charges.)
Does your Dog shred blankets?*

YesNoUnsure
Will you be bringing in your own food?*

YesNo
How much and how often does your pet get fed?*
We ask that you please bring in your dog's own food in pre-measured bags for each day/feeding. If you do not bring in your own food we will feed our boarding food. (this may cause gi upset)

We provide bowls, blankets, toys ect. Please do not bring these from home, they may get lost and not returned back to you.
Your Dog is taken out at least 3 times a day, would you like an additional playtime/TLC for $8.60?

YesNo
Signature

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K-9 Boarding Form

K-9 Boarding Consent Form