Cat Boarding Waiver and Consent Form
Boarding Start
-
Month
-
Day
Year
Date
1
2
3
4
5
6
7
8
9
10
11
12
:
Hour
00
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
Minutes
AM
PM
AM/PM Option
Boarding End
-
Month
-
Day
Year
Date
1
2
3
4
5
6
7
8
9
10
11
12
:
Hour
00
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
Minutes
AM
PM
AM/PM Option
Cat Owner Information
Cat Owner's Name
*
First Name
Last Name
Cat Owner's Email
*
example@example.com
Cat Owner's Phone Number
*
-
Area Code
Phone Number
Cat Owner's Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Cat Information
Cat's Name
*
Breed Type
Color
Cat Description
Diet/Treats or Special Instruction
Enter own food, kennel food, etc.
Veterinarian's Name
*
Add hospital name
Veterinarian's Phone #
*
Medications
Does the cat have vaccinations? Please indicate the name of the vaccines and when did the animal received it
*
Waiver & Consent
I confirm that I own the cat or I was given authority by the owner for taking ownership of the cat.
I assure Feline Fancy Resort & Spa that this cat is currently in good health condition.
I confirm that my cat has a complete and updated vaccination history. Proof of Rabies and FVRCP needed for stay.
I confirm that my cat doesn't have any fleas (if found to have fleas you agree to CapStar and/or flea bath) and has no communicable disease.
I release Feline FancyResort & Spa, its employees, and owners from any liabilities but not limited to injury, sickness, damage, accident, or death while in the vicinity.
If ever that I wasn't able to pick up my cat on time, Feline Fancy Resort & Spa will be calling the owner and get authorization for the cat to stay with Feline Fancy Resort & Spa.
If my cat needs medical attention, I authorize Feline Fancy Resort & Spa to have it looked at by the in-house veterinarian.
If you will avail of our service during the holidays, please make sure to reserve at least 2-3 weeks before. A $5.00 Per Holiday Fee applies
Balance due is to be paid at time of Check-in. Any other accrued fees will be paid at Check-out. Fees will be discussed with client.
I confirmed that all information I entered in this form is true and accurate.
Signature
*
Powered by
Jotform Sign
Clear
Date Signed
-
Month
-
Day
Year
Date
Submit
Submit
Should be Empty:
Now create your own Jotform - It's free!
Create your own Jotform