Estimate# by pptfiles

VIEWS: 41 PAGES: 1

									                                                           Boarding Consent
Owner’s Name________________________________________ Pet’s Name_________________________________________

Arrival Date & Time__________________________________ Departure Date & Time_______________________________
  In order to safeguard the health of all pets, we require that the vaccinations shown below and fecal exam be current. We ask that
all pets be on a monthly flea preventative such as Frontline, Revolution, etc. All pets will be checked upon arrival for fleas, and will
be treated at owner's expense if fleas are found.
  Boarding pets are admitted and discharged during the following hours: Monday, Tuesday, Thursday, Friday- 8:30am to 5:30pm,
Wednesday- 8:30am to 12pm and 2pm to 5:30pm, and Saturday- 8am to 12:30pm. We do not admit or discharge pets on Sunday.

Emergency Instructions:
  Should your pet experience a medical problem while boarding, a veterinarian will make every effort to contact you for approval to
treat. Occasionally we are faced with a situation where owners cannot be reached. Please read and approve the following
information:
  I understand Star Meadow Animal Clinic will exercise all due diligence in the care of my pet. I hereby waive and release Star
Meadow Animal Clinic, its employees, owners and agents from any and all liability for injury or damage, including that which may
result from the action of any pet, including my own. I assume the risk of such damage or injury while my pet is in the care of Star
Meadow Animal Clinic, while on the grounds or surrounding areas.
  In the event that my pet experiences a medical emergency and I cannot be reached to approve treatment, please treat my pet with
whatever is necessary to safeguard his/her health including surgery, and transfer to the emergency clinic if necessary. I understand
that I will be financially responsible for all treatment costs.
I have read and understand this boarding contract and agree to the terms indicated above:
Client Signature_________________________________ Emergency contact #(s)_____________________________
Person other than owner authorized to pick up pet_______________________________________________________
Feeding instructions & quantity - Our food (E/N)__________________ Own Food (fee applies)____________________
Pet's toy/belongings _____________________________________________________________________________
Medications___________________________________________________________________________________
____________________________________________________________________________________________
Is your pet aggressive toward other animals? _______ Towards people? _______ Has anxieties/fears? _____________
If yes, please explain____________________________________________________________________________
    *************************************************************************************
                                Daily Boarding Rates (Please Check Services Desired)
  Dogs under 10 lbs... $18.00                  Dogs 11-25 lbs… $19.00     Dogs 26-50 lbs… $20.00
Dogs 50 lbs and over, or kennel run by request… $22.00     Cats… $13.00    Exotics… $13.00
                                         Additional Services 
 Custom feeding (pet's own food from home) $1.50 per day                  Nail Trim… $14.00
 Bath (pickup after 1:00 pm only)… $15.00
Playtime! 15 minutes each:  One playtime… $5.00/day  Two playtimes… $10.00/day
Daily medications:  Once daily... $1.50/day  Twice daily… $3.00/day  Three times daily… 4.50/day
 ********************************************************************************************
FOR OFFICE USE ONLY:
                           Dogs                                                                         Cats
Rabies_________DAP________Bordetella_________Fecal_______                        Rabies_______CVRC______Fecal________
                                 ( Date Due )                                                     ( Date Due )
                                                                                        if outdoor: FeLV/FIV___________
                                                                                                                  ADMITTED BY_________

								
To top