Pet Boarding Waiver and Consent Form
Boarding Start
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Month
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Day
Year
Date
Hour Minutes
AM
PM
AM/PM Option
Boarding End
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Month
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Day
Year
Date
Hour Minutes
AM
PM
AM/PM Option
Pet Owner Information
Pet Owner's Name
First Name
Last Name
Pet Owner's Email
example@example.com
Pet Owner's Phone Number
Please enter a valid phone number.
Pet Owner's Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Pet Information
Pet's Name
Breed Type
Color
Animal Type
Pet Description
Diet
Enter own food, kennel food, etc.
Medications
Does the pet have vaccinations? Please indicate the name of the vaccines and when did the animal received it
Waiver & Consent
I confirm that I own the pet or I was given authority by the owner for taking ownership of the pet.
I assure ABC Pet Care that this pet is currently in good health condition.
I confirm that my pet has a complete and updated vaccination.
I acknowledge that the pet should have a safety collar.
I confirm that my pet doesn't have any flea or any communicable disease.
I release ABC Pet Care, its employees, and owners from any liabilities but not limited to injury, sickness, damage, accident, or death while in the vicinity.
If ever that I wasn't able to pick up my pet on time, ABC Pet Care will be calling the owner and get authorization for the pet to stay with ABC Pet Care.
If my pet needs medical attention, I authorize ABC Pet Care to have it look by the in-house veterinarian.
If you will avail of our service during the holidays, please make sure to reserve a week before.
I confirmed that all information I entered in this form is true and accurate.
Signature
Date Signed
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Month
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Day
Year
Date
Submit
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