Online boarding authorization form

Boarding Authorization Form

THANK YOU for choosing our Boarding Facilities! Our Boarding Facilities will allow your pet to be as comfortable as possible while you are away. Please feel free to contact us for a tour of our facilities at any time. IMPORTANT: Boarding dates and arrangements are not confirmed until you have received notification. A staff member will contact you by phone or email.

Name*
First Last
Email*
Phone*
Pet Name*
Has your pet stayed with us before?*
- Yes
- No
Please fill out any Comments or Special Instructions below: (feeding, medications, request for veterinary services while boarding, etc. MEDICATION IS $10.50 EXTRA AND INJECITON IS $20.50 EXTRA PER DAY).
Drop off Date*
Date Format: MM slash DD slash YYYY
Drop off Time*

: HH

MM
Pick-up Date*
Date Format: MM slash DD slash YYYY
Pick-up Time

: HH

MM
Emergency Contact - In case of an emergency with your pet while he/she is boarding at our hospital, please provide us with an emergency contact telephone number for yourself or the name of a contact person and their telephone number.*
First Last
Phone*

1. All pets presented for boarding must be healthy and free of infectious disease, with proof of current vaccination & flea control. If the vaccination/flea control is not up to date, the pet will need to be vaccinated or given flea control on the first day of boarding. A fee for this service will be added to your regular boarding charges.

3. The hospital provides Hill’s prescription diets t/d & g/d in clinic. If a special diet is requested or required for your pet we ask that the owner provide this. The hospital will provide special diets upon request and there will be an additional fee for this service.

5. I authorize the hospital and its staff to provide veterinary service as necessary in emergency circumstances until further advised.

6. You are to use all reasonable precautions against injury, escape or destruction of the animal but you will not be held liable or responsible in any manner whatever, or any circumstances, on account of treatment, care or safe keeping of the animal or otherwise in connection therewith, as it is thoroughly understood that I assume all risks.

7. In the event of abandoning my pet, I hereby authorize Oak Animal Hospital or its representatives to surrender such pets to the shelter five days after written notice of such abandonment to owner’s address on record.

PLEASE PRINT OFF FORM AND SIGN AND DATE BELOW. PLEASE DO NOT FORGET TO BRING IN THIS SIGNED FORM INTO OUR HOSPITAL WHILE YOU ARE DROPPING OFF YOUR PET FOR BOARDING.

SIGNATURE:_______________________ DATE:_____________________

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Boarding Authorization Form

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