Boarding Release Form Client IDPatient IDClient Name*Patient NameAddress Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone*SpeciesSexBirthdateWeightEmail* Arrival Date Date Format: MM slash DD slash YYYY Depart Date Date Format: MM slash DD slash YYYY Instructions/Medications/Personal Items?Special Diet?Treats?Surgery/DentalVaccinationsTraining? All pets left for boarding must be current on all required vaccinations and free of fleas and ticks. All pets will be treated prophylactically for fleas upon arrival. Dogs are required to have up to date DHPP, Lepto, Bordetella, and Rabies. Dogs and Cats must also have current negative fecal parasite examination. Cats are required to have up to date FVRCP and Rabies. A current wellness exam is required to update any vaccines. All patient's boarding 3 nights or more will receive a complimentary bath and ear cleaning. For an additional $15.00, they may receive a nail trim and anal gland expression as well.Opt in to Text Messaging to receive a photo of your pet and more! Data charges may apply.YesNoIf you would like additional accomodations to help make your furry best friend's stay more enjoyable, please select from the options below. Frosty Bowls -low calorie treat $4/day Brushing Teeth-manually $3/day Busy Time Treat $4/day Exercise Time $20/day add'l 10 minute walk Zylkene- all natural stress relief Daily Probiotic If medications are necessary for treatment or handling, I give my permission to the clinic to administer such medications. I authorize the clinic to do whatever is necessary in case of an illness or an emergency situation. I have given and read/understand the boarding policy of the clinic.Emergency ContactPhoneEmergency ContactEnter Full NameToday's Date
