Boarding Reservation Form

Boarding Reservation Form

*Form MUST be completed and submitted BEFORE your pet arrives for their boarding reservation*
Pet's Name *

Pet's Name Pet #2 Pet #3
Pet Parent's Name *

First Name Last Name
Pet Parent's Contact Number
Emergency/Other Contact Number
This will be the person authorized to consent for treatment in the event we are unable to contact you.
Date In *
Date Out *
Would you like your pet(s) to have a bath before checking out? (baths include a nail trim & ear cleaning. Baths are an addition fee per pet) *

yes I would like my pet to be bathed before returning home No bath
Does your pet need to be seen by our veterinarian while they are here? *

yes No I'm unsure, please check records
If your pet DOES need to been seen by our veterinarian please tell us why
What will our veterinarian be seeing your pet for?
Will your pet need to be given medication(s) during their stay? *Please note that there is an additional fee of $4/day if your pet requires daily medication administration* *

Yes No
Please list all medications your pet will need, how much, and how often the medication(s) will need to be given
As a courtesy, we provide a high quality food for all boarding pets during their stay, we adhere to your routine feeding schedule and amounts given at each feeding.

If your pet is on a prescription or other specific diet, and you will send your pets food with them for the duration of their stay, please have all food clearly labeled with your pets name.
Will your pet be eating : *

Food provided by us Own food, supplied by parent
- Do you feed your pet in the mornings, the evenings or twice daily? blanks *
- What is the amount of food given at each meal? 1 cup *
We also provide your pet with beds, fresh blankets (changed and washed daily,) as well as toys and regular activity to keep them entertained and comfortable during their stay.

If you choose to bring your own toys or bedding for your pet, please clearly label ALL ITEMS with your pets name and your last name.

**Please note that Perking Road Veterinary is not responsible or liable for any personal items/belongings that may be lost or damaged.**
By signing this form you authorize the doctors and staff at Perkins Road Veterinary Hospital to provide any services, care and/or medical treatments requested above, to your pet(s) during the time they are here boarding.

Should any unforseen/emergency situtions arrise regarding your pet and their health, we will make every reasonable attempt to conntact you and/or the emergency contact listed on this form. If for any reason we are unable to contact you or your authorizing agent, by signing this form, you herby authorize the doctors and staff of Perkins Road Veterinary Hospital to treat and/or provide any necessary services to your pet and understand that you are responsible for all costs incured if such circumstances arrise while your pet is in our care.

(this includes updating any vaccinations your pet may be due for, administration of antiparasitic medications or preventative medications - if found to be necessary or due according to our records)
Signature *

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