Boarding Admission Form
The following boarding agreement is for existing reservations. If you need to make reservations, please contact us at 816-741-2345.
I am aware by filling out this agreement that this form is not confirmation that my pet has reservations at Eagle Animal Hospital. I am aware all boarding reservations must be made directly with one of Eagle Animal Hospital's receptionist.
*
Initials
Name
*
First Name
Last Name
Pet's Name
*
Check in Date
*
-
Month
-
Day
Year
Date
Pick up date
*
-
Month
-
Day
Year
Date
Medical/Illness Policy
All pets entering this boarding facility must be protected against all preventable communicable diseases and be free of internal and external parasites (intestinal worms; fleas; ticks). If any intestinal/external parasites, fleas, or ticks are detected at any time during your pet’s stay with us, I understand they will receive treatment at my expense. Should a medical emergency arise or my pet becomes ill in my absence, I understand my pet will be examined by a veterinarian and appropriate treatment will be provided. I understand if I seek medical care for any condition, and/or my pet receives any medical care, I will assume full financial responsibility. I understand there are additional fees if my pet requires medication to be administered.
*
Intials
Bath
*
I am REQUESTING a bath prior to my pet leaving
I am DECLINING a bath prior to my pet leaving
General Boarding Requirements
If my pet is found to be aggressive and dangerous to the staff or other animals, and sedation is deemed necessary for treatment or handling, I authorized the staff to administer such treatment. If the pet must be separated from the general population and put into quarantine. I am aware additional charges will be applied. I understand if requesting a bath prior to my pet’s departure there may be additional fees depending on how long my pet stays.
*
Initials
Personal Items
Eagle Animal Hospital will not to be held responsible for damage or loss of any personal items left with the pet to include but not limited to bedding, toys, blankets, towels, beds, clothing.
*
Initials
Abandoned Pets
If I neglect to retrieve my pet within 5 days of the agreed date of discharge, we will consider your pet abandoned and will become property of Eagle Animal Hospital. If we are unable to contact you, Eagle Animal Hospital will make arrangements for placement or humane care including possible euthanasia. By initialing, you agree to be responsible for all fees incurred including administrative costs/attorney fees necessary to collect on your account.
*
Initials
Boarding Consent
I agree to pay in full for all services rendered, including those unforeseen medical or surgical complications. I acknowledge that Eagle Animal Hospital is not staffed 24 hours a day. I understand that reasonable precautions will be used to prevent injury or escape and that Eagle Animal Hospital and its staff will not be held liable provided reasonable care and precautions are followed.
*
Initials
Emergency Contact Name 1
*
First Name
Last Name
Emergency Contact Number 1
*
Please enter a valid phone number.
Emergency Contact Name 2
*
First Name
Last Name
Phone Number 2
*
Please enter a valid phone number.
Signature
*
Emergency Contact Number 2
*
Please enter a valid phone number.
Date
*
-
Month
-
Day
Year
Date
Preview PDF
Submit
Should be Empty: