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Please fill out ONE FORM per pet.
Pet Name
Boarding Dates
EMERGENCY CONTACT INFORMATION
CONTACT 1Name
Relationship
Phone Number
CONTACT 2Name
EMERGENCY TREATMENT OPTIONPlease select one option:
DIET AND INSTRUCTIONS
Use Kennel Food
Use Food From Home
Feeding Instructions
Please select if your pet has already eaten breakfast, lunch, dinner depending on how often you feed and what time you are dropping off:
BATH***Includes a nail trim***
Would you like a bath on the day of pick up?(You will receive $10.00 off bath with boarding!)
MEDICATIONSIs your pet on any medications, flea control, or supplements?***FLEA CONTROL IS REQUIRED. SEE BOARDING CONTRACT***
Medication
If yes, please fill out a separate medication sheet.(*There is an additional charge to give medications.)
Supplements
If yes, please fill out a separate medication sheet.
Flea Control
If yes,
Type
Date Last Given
EXTRA OUTSIDE TIMEWould you like extra outside time for your pet?
PERSONAL BELONGINGS***Please remember that we cannot guarantee any items left will be returned to you.***
Please list any personal belongings you are leaving with your pet.
AUTHORIZATIONI understand all the boarding policies on the contract and do hereby authorize Redwood Animal Hospital to care for my pet during agreed-upon boarding dates.
I am aware that this boarding facility does not have 24-hour supervision. Also, payment for services incurred is done upon pickup.
Owner's Name
Date
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