Boarding Admit Form

The Cat Doctor of Dover Boarding Admission Form
Drop off date:*

MonthDayYear
Drop off time (AM or PM):
Pick up date:*

MonthDayYear
Date
Pick up time (AM or PM):
Owner's Name:*

First NameLast Name
Emergency Contact Name:*

First NameLast Name
Emergency Contact Phone Number:*
Format: (000) 000-0000.
Alternate Emergency Contact:

First NameLast Name
Alternate Emergency Contact Phone Number:
Format: (000) 000-0000.
Cat's Name:*
Flea product used & date of last application:*
Type N/A if you are not currently using any flea/tick preventative for your cat.
Feeding Instructions:*
Please list the brand of food, how much to give for each meal, and how often.
Medication Instructions:*
Please list the name of the medication, dosing information, how to administer, and frequency.
Articles being left:*
Please list any blankets, toys, clothing, etc. that you plan to leave with your cat while boarding.
• I have read, understand, and will adhere to the boarding policies of The Cat Doctor of Dover.

• I have been given the daily rates and fees for boarding at The Cat Doctor of Dover.

• In the event of an emergency or development of illness and I cannot be reached, I agree to emergency and medical treatment deemed necessary for my cat.

• I agree to pay all related expenses associated with the treatment of my cat until I am available to discuss further care and related fees with the doctor.
Signature of Owner or Authorized Agent:*

Clear
Date Signed:*

MonthDayYear
Should be Empty: