Feline Boarding Agreement & Profile

1
Feline Guest Profile
Cat’s Name
Breed
DOB
Color
Please Select
Please Select
Male
Male Neutered
Female
Female Spayed
Sex
Please Select
Please Select
Indoor Only
Indoor/Outdoor
Outdoor
Lifestyle
2
Current Vet
Phone
3
While boarding, we can feed a diet you provide or we can feed our diet. Please select below what you prefer for your pet
RVGB Science Diet
RVGB Fancy Feast Canned
Other
4
Amount
5
How Often
Free Choice
Once/day (SID)
Twice/day (BID)
Three times/day (TID)
6
Other Feeding Instructions
7
Does your cat have any allergies?
Yes
No
8
If yes, please describe
9
Is your cat on any medications?
Yes
No
10
If yes, please list
11
Has your pet ever boarded before?
Yes
No
12
If yes, how was the experience?
13
What type of cat litter does your cat use?
Clumpable
Clay
Other
14
Is your cat declawed?
Yes, front
Yes, front and back
No
15
What is your cat’s favorite activity?
16
Is your cat used to being picked up and held?
Yes
No
17
Is your cat used to being around other cats?
Yes
No
18
How does your cat respond to new people or situations
19
Has your cat ever behaved in a threatening or aggressive way?
Yes
No
20
If yes, please describe
21
Does your cat have any special health or behavioral concerns?
Yes
No
22
If yes, please describe
23
Is there any other information about your cat that you feel might be helpful to ensure your cat’s stay at River Valley Groom and Board is the best possible?
24
Client Information
First Name
Last Name
Cell Phone
E-mail
25
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
26
Secondary Contact (Co-owner, spouse, etc.)
First Name
Last Name
Cell Phone
27
Would you like text message updates on your pet while they are here?
Yes
No
28
River Valley Veterinary Services shall exercise reasonable care for pets delivered for boarding.

In the event of injury or illness, River Valley will attempt to contact the animal’s owner for instruction. If the owner cannot be reached, River Valley will attempt to contact the emergency contact. If neither the owner nor emergency contact can be reached, River Valley will move forward with any medical treatment recommended by River Valley veterinarians. By signing below, the owner authorizes any such medical treatment and acknowledges their agreement to pay for any needed medical services.

In signing this agreement, the pet owner agrees that he/she is aware of risks from contact with other animals, including but not limited to scratches, bites, and communicable diseases.

The owner agrees to be solely responsible for any and all acts and behavior of their pet, included but not limited to biting other animals and humans. The pet owner has disclosed any history of aggression towards other animals and humans.

The owner agrees to permit River Valley Veterinary Service to use any pet images and or video for promotional purposes.
29
Client Signature* This field is required.
Clear
30
Name* This field is required.
31
Date* This field is required.
Date
Year
Month
Day
32
Emergency Contact Name
33
Telephone
Should be Empty: