Boarding Agreement Form

Client Name*

First NameLast Name

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Telephone*

Please enter a valid phone number.

Email*

example@example.com

Alternate Contact Info

Please enter a valid phone number.

Name*

Species*

Breed*

Sex*

Color*

Markings*

Birth Date*

Date

Vaccines And Fecal Exams
If your pet is past due, they will be examined and given the necessary treatment upon admission at the owner's expense.
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Parasites
Pets found to have evidence of parasites, internal or external, will be treated at the owner’s expense.
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Bath While Boarding (Not applicable to cats)
I WOULD like my pet to have a bath while boarding.   I would NOT like my pet to have a bath while boarding.

Personal Items
Delaware Animal Clinic will not be held responsible for any/all lost or destroyed personal items left with your pet while boarding. Delaware Animal Clinic provides leashes and fresh bedding daily.
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Intake & Discharge Appointment
All boarding intakes and discharges are scheduled as appointments. In the event that you are unable to arrive at your pets designated intake or discharge appointment time, you will charged a late/early intake/discharge fee.
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Unsupervised Pets
Delaware Animal Clinic employs kennel staff to ensure the safety and comfort of your pet during normal business hours. Delaware Animal Clinic employs kennel staff to make twice daily care visits on weekends and holidays. Apart from these times, your pet will be left unattended during their boarding stay.
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Illness or Emergency
In the event of illness or an emergency, I authorize Delaware Animal Clinic to perform treatment services, including the use of anesthesia if necessary, until such time as I am contacted. If I am unreachable, I authorize the veterinarians to proceed with necessary treatment of my pet, and understand that I am responsible for all charges incurred. In the event of an EMERGENCY, every attempt will be mede to contact you. Please verify your contact information and provide an emergency/alternative contact number.
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The undersigned hereby warrants that they are the owner or authorized agent for the pet listed in this record. By signing this consent form, I agree to release Delaware Animal Clinic, its owners, employees and agents from any and all liabilities, claims or expenses arising from my pet's boarding stay, including but not limited to injuries, illnesses or death.

I have read and understood the statements outlined in the notice and in this consent form and release. I voluntarily consent to my pet staying at Delaware Animal Clinic and acknowledge that I am solely responsible for any consequences that might arise during their stay.

Date

Signature

Boarding Agreement Form

Pet Information