Boarding Agreement (Canine)

Client Name:

Address:

Phone:

Patient Name:

Birthday:

Age:

Breed:

Color:

Sex:

Drop-off Date:

Pick-up Date:

Time:

Boarding Agreement
(Canine)

I agree to allow the following individual to make decisions regarding my pets care during their stay at VMC.

Emergency Contact: Phone #:

Feeding: What are we feeding? Kennel Kibble Food from home How much to feed? AM: PM:

When was the last feeding?

If your pet does not eat the food listed above, he/she will be given a prescription diet at owner's expense.

Canine Bathing: If your pet receives a bath, pick up must be after 4:00 pm. May be Unavailable during high volume seasons

Weight in pounds		<30#	31‐60#	61‐90#	>91#
1‐9 day spa bath: Stay includes nail trim, anal gland expression & ear cleaning	Would you like your pet to receive a spa bath? Yes: No:	$20.80	$31.50	$42.00	$57.50
>9 day stay basic bath	Basic bath? Yes: No:	$10.00	$15.00	$20.00	$25.00

Medications: All medications must be clearly identified. Boarders with medication will receive a $3 daily administration fee. Insulin dependent boarders will receive a $ 6.00 daily administration fee.

	Medication Name	Instruction	Date Last Given	Time
1)
2)
3)
4)

Belongings: VMCS is not held responsible for any lost, damaged or missing items left with your pet. Please list all belongings left with VMCS:

Tender Loving Care: (Would you like your pet to receive TLC treatments? If time permits!)

Dog Play Time ($5 each) Times during stay

Concerns:
Food aggression Human aggression Kennel aggression Storm anxiety Separation anxiety

Please elaborate:

Food allergies
Inappropriate chewing
Animal aggression

Illness: Should your pet become ill during their stay, we will attempt to contact the emergency contact you listed above. If no answer is received, the doctor will commence with an examination of the patient. After examination…

Do not proceed with any diagnostic or treatment recommendations without speaking with the emergency contact.

Proceed with diagnostic and treatment recommendations at the doctor’s discretion not to exceed (Amount):
This is in addition to any previous estimate provided before contacting me.

Proceed with any diagnostic and treatment recommendations at the doctor’s discretion

- It is necessary that all dogs are current on the following: Rabies, DHPP & CIV (Both H3N2 & H3N8). The following are required within the last 6-months: Exam, Bordetella and fecal exam.

- During your pets stay with us, gastrointestinal issues may develop. Often this is stress related but may be due to other causes. Regardless of whether diagnostics or treatment is authorized, minimal intervention such as Endosorb for diarrhea and/or prescription dietary changes will be initiated at the owner’s expense

- All dogs will receive Capstar upon arrival for treatment of fleas. Should your pet become soiled during his/her stay, a discounted bath will be given at owner’s expense.

- By signing or initialing below, I understand and agree to the terms and charges outlined in the Boarding Agreement.

Print Name:

Signature:

Date:

Boarding Agreement(Canine)

Boarding Agreement
(Canine)