Pet Lodge Boarding Check In Form

OWNER RELEASE

I understand ALL pets admitted to the clinic/lodge must be protected against communicable contagious diseases and must be free of internal and external parasites or will be treated on entry or discovery at the owner /agent’s expense.

If a medical problem arises while my pet is boarding, I understand that a veterinarian will examine my pet and that I WILL BE CHARGED AN EXAM FEE.
If the veterinarian determines that additional diagnostic tests and/or treatments are needed*

I authorize the staff to treat my pet according to the veterinarian’s orders, you need not contact me first.Contact me or my agent for pre-approval, prior to any additional testing or treatment.
IN A MEDICAL EMERGENCY:*

Please treat my pet as required. I authorize the medical staff to sedate my pet and/or to perform emergency procedures and/ or transport to another facility (such as a local ER or specialty hospital), as may be necessary for the health of my pet. I understand that I will be contacted as soon as possible after my pet has been stabilized. I agree to pay, in full, all charges for necessary services rendered for and to my pet.Perform only emergency and supportive care. Notify me for permission to begin any other treatment.
I understand that the clinic/lodge is not responsible for loss or damage to personal items left with the pet including but not limited to leashes, collars, toys, and bedding. The clinic/lodge is to use all reasonable precaution against injury, escape, or death of my pet. The clinic/lodge and staff will not be held liable for any problems that develop provided reasonable care and precautions are followed.
I understand that any problem that develops with my pet will be treated as noted above and I assume full responsibility for the treatment expense incurred.

I will call if my “pick-up date” changes so you can plan accordingly. If I neglect to pick up my pet within 10 days of the date scheduled for discharge, and do not notify you within that period, you may assume that the pet is abandoned and are hereby authorized to dispose of the pet as you deem best and/or necessary.

Hurricane Policy: Boarding services will be suspended whenever a tropical storm or hurricane forms in or enters the Gulf of Mexico. No boarders will be accepted. All pet owners of animals boarding at the time will be notified to pick up as soon as possible.
I grant The Pet Clinic and The Pet Lodge, its representatives, and employees the right to take photographs of my pet, and to copyright, use, and publish the same in print and/or electronically, with or without my pet's name, for any lawful purpose, including publicity, illustration, advertising, and web content.*

I agree.I do not agree.
Date: *

MonthDayYear
Date
Owner / Agent:*

Clear
Owner / Agent Name*

First NameLast Name
Please list the phone numbers we may call to contact you while you are out of town.*
Should be Empty:

The Pet Lodge Boarding Check-In Form