Boarding Release Form

OWNER & PET INFORMATION

First Name

Last Name

Phone Number

Pet Name

Your Email Address

ALTERNATE CONTACT

First Name

Last Name

Phone Number

EMERGENCY CONTACT

First Name

Last Name

Phone Number

FOOD AND BELONGINGS

I would like my pet fed in-house food

My pet has their own food

If so please provide food in a sealed container with name and feeding instructions on it.

Food instructions, amount, times per day

Treat instructions

Food Allergies

Pet belongings

MEDICATIONS

NAME OF MEDICATION

AMOUNT

INSTRUCTIONS

Does your dog have any past injuries, medical problems or any current conditions?

BEHAVIOR

Has your dog ever attended daycare or boarding?

Does your pet(s) need to be separated from other pets for playing/walks:

Please list any behavioral information. Ex: Aggressive over toys or food.

Does your dog get along well with other dogs?

Does your dog growl?

Is your dog mouthy? i.e. does he/she nibble on you?

Would you like your dog fed during daycare?

Is your dog frightened around anything?

What happens when you or somebody else tries to take food or toys from your dog?

What kind of toys does your dog like?

Does your dog have any obedience training?

What commands does your dog know?

How does your dog react to puppies?

Rate your dog’s energy level “1” being very mellow and “10” being a total uncontrollable spaz.

How well does your dog get along with other animals “1” being aggressive “5” really doesn’t care and “10” being excellent?

Has your dog ever bit anyone? What were the circumstances?

Has your dog ever jumped or climbed over a fence? How high was it? What type of fence?

REGARDING TREATMENT OF MY PET(S) DURING ITS STAY: (PLEASE CHECK ONE)

In the event I cannot be reached authorize up to $100 for medical treatment that a Veterinarian deems necessary, should anything arise during my pets stay -OR- up to $500 for emergency treatment that a Veterinarian deems necessary, should a life-threatening emergency arise during my pets stay.

$100 for treatment

$500 for treatment

By signing below you agree to terms of our boarding stay and agree to follow them as discussed above.

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Boarding Release Form

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