Boarding Agreement Owner Name * First Name Last Name Email * Contact Number: * (###) ### #### Pet Name * Sex * Male Female Color Preferred Pickup Time * AM PM Proof of the following vaccinations is required for boarding: DOG Current: Rabies 1yr / Rabies 3yr * Current: DA2LPP / DAP 3yr * Current: Bordetella (Kennel Cough) * Canine Influenza * Update Today Indicate which vaccinations to update today. Rabies 1yr / 3yr DA2LPP / DAP 3yr Bordetella (Kennel Cough) Canine Influenza CAT Current: Rabies 1yr / Rabies 3yr * Current: FVRCP * Update Today Indicate which vaccinations to update today. Rabies 1yr / 3yr FVRCP Update Today Indicate which vaccinations to update today. Rabies 1yr / 3yr DA2LPP / DAP 3yr Bordetella (Kennel Cough) Canine Influenza Is the pet on Heartworm preventative? Yes No Has the pet been checked for intestinal parasites in the last 6 months? Yes No Is the pet in heat or pregnant? Yes No Is the pet a fence climber or a digger? Yes No How often/much does your pet eat per day? * Has your pet eaten today? Yes No Is your pet on any medication? Yes No If so, When was the last dose given? Special Instructions Are you leaving any belongings? Please list: Check any elective procedures to be done during boarding: Examination Routine Nail Trim Teeth Cleaning under Anesthesia (if schedule permits) Express Anal Glands Administer Flea Control Ear Cleaning Spay / Neuter (if schedule permits) Flea / Tick Policy Any animal which remains in the hospital that is noted to have fleas and/or ticks will be treated accordingly at the OWNER’S EXPENSE. This will ensure a parasite free hospital environment and protect any other hospitalized patients. We appreciate your understanding with this matter. Dogs that board for at least 4 nights will receive a complimentary bath on the morning of the day they are to go home unless the condition of a dog’s haircoat at presentation (ie. excessive matting) prevents basic bathing. Make My Pet Famous! I authorize LVCC to use my pet’s photograph and name for Facebook and other promotional materials. I Do Not authorize LVCC to use my pet’s photograph and name for Facebook and other promotional materials. I understand that all reasonable precaution will be used against injury, escape or death of my pet. The clinic and staff will not be held liable for problems that develop provided reasonable care and precautions are followed. I understand that any problem that develops with my pet will be treated as deemed best by the staff veterinarians and I assume full responsibility for the treatment expense involved. Owner or Responsible Party: * Emergency Contact Number * (###) ### #### Preferred method of contact: Phone Call Text Thank you! We will email you if we have any questions.
