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* to Date* . What time do you plan on dropping your dog off? Time* .
Is your pet current on Rabies, Distmeper, Bordetella and Canine Influenza? Yes No*
If yes where? . If no we will administer the required vaccinations at your cost.
Is your pet on a flea prevention? *

Yes No
If we see fleas or ticks on your animal, we will administer a prevention at your cost. $33
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. *

Yes No
If your pet needs life saving measures do you give Belmont Vet the right to try and *

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

Yes No Unsure
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. *

Yes No
Do you give Belmont the right to take photos of your pet, for social media? *

Yes No
Does your dog have any food allergies? Yes No*
If yes then what to:
Is your dog on any medication? Yes No*
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? *

Yes No Unsure
Will you be bringing in your own food? *

Yes No
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?

Yes No
Signature

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K-9 Boarding Form

K-9 Boarding Consent Form