Print the boarding agreement and bring it with your pet.
| 4_paws_boarding_agreement.doc |
4 PAWS PET BOARDING
3310 Atlanta Highway
Montgomery, AL 36109
334-272-2200
Boarding Agreement
Thank you for giving us the opportunity to care for your pet.
So that we may better meet your needs, please complete the following:
Your Name_______________________________________________________________
Pet’s Name_______________________________________________________________
Today’s Date___________________ Pick Up Date___________________________
Emergency Telephone # (________) _________-_____________
Alternate Telephone # (________) _________- _____________
E-Mail Address___________________________________________________
Where are you going? _________________________________________________
Our Policy
ALL FEES ARE TO BE PAID AT THE TIME SERVICES ARE PERFORMED
The undersigned acknowledges and certifies that in admitting their pet(s) for boarding and, in the event a medical problem develops while boarding, they authorize the veterinarians of 4 Paws Pet Boarding and their support staff, to administer such treatment and/or perform such diagnostic or surgical procedures as deemed necessary. It is understood we will attempt to immediately contact you via the emergency contact number above. Secondly, we will use the alternate contact and then e-mail. It is understood that the undersigned assumes full financial responsibility for all charges incurred.
It is understood that an any pet not picked up within 14 days of the Pick Up Date listed above will be deemed abandoned. The undersigned still remains responsible, however, for all charges incurred during the boarding stay even for abandoned pets. I also understand that under no circumstances will a pet be boarded for longer than 30 days.
I have read and fully understand this entire form:
Signature______________________________________Dated_______________________
Required Information
Please answer the following questions
o We require all pets boarding here have a current physical examination within one year.
Is your pet up to date on his/her examination? □ Yes □ No
o We require all pets boarding here be up to date on their vaccines. If not our patient, then proof of vaccination required.
Is your pet up to date on his/her vaccines? □ Yes □ No (Kennel Cough vaccine will be given at an additional charge)
o We require all pets boarding here to be Parasite Free. If we notice parasites we will treat immediately. (extra charge)
Is your pet on flea/tick preventative? □ Yes □ No type______________________
o All pet’s currently on medication must continue to take medication while boarding.
Is your on any medication? □ Yes □ No List all medication and dosing below:
There is an additional charge for administering medications
Please initial here__________ and list below the medications and dosing while here
Medication________________________________ □ Once □ Twice □ Three times a day
Medication________________________________ □ Once □ Twice □ Three times a day
Medication________________________________ □ Once □ Twice □ Three times a day
Services for Your Convenience (extra charges apply)
I Would like to have my pet examined before I pick up: □ Yes □ No
I Would like to have my pet bathed before I pick up: □ Yes □ No (Includes Toe Nail Trim, Ear Cleaning, Anal Glands Expressed)
I Would like to have my pet receive another service before I pick up: □ Yes □ No
What service?____________________________________________________________
Special Instructions:
_______________________________________________________________________
NOTE: There is no overnight monitoring of boarded pets.
3310 Atlanta Highway
Montgomery, AL 36109
334-272-2200
Boarding Agreement
Thank you for giving us the opportunity to care for your pet.
So that we may better meet your needs, please complete the following:
Your Name_______________________________________________________________
Pet’s Name_______________________________________________________________
Today’s Date___________________ Pick Up Date___________________________
Emergency Telephone # (________) _________-_____________
Alternate Telephone # (________) _________- _____________
E-Mail Address___________________________________________________
Where are you going? _________________________________________________
Our Policy
ALL FEES ARE TO BE PAID AT THE TIME SERVICES ARE PERFORMED
The undersigned acknowledges and certifies that in admitting their pet(s) for boarding and, in the event a medical problem develops while boarding, they authorize the veterinarians of 4 Paws Pet Boarding and their support staff, to administer such treatment and/or perform such diagnostic or surgical procedures as deemed necessary. It is understood we will attempt to immediately contact you via the emergency contact number above. Secondly, we will use the alternate contact and then e-mail. It is understood that the undersigned assumes full financial responsibility for all charges incurred.
It is understood that an any pet not picked up within 14 days of the Pick Up Date listed above will be deemed abandoned. The undersigned still remains responsible, however, for all charges incurred during the boarding stay even for abandoned pets. I also understand that under no circumstances will a pet be boarded for longer than 30 days.
I have read and fully understand this entire form:
Signature______________________________________Dated_______________________
Required Information
Please answer the following questions
o We require all pets boarding here have a current physical examination within one year.
Is your pet up to date on his/her examination? □ Yes □ No
o We require all pets boarding here be up to date on their vaccines. If not our patient, then proof of vaccination required.
Is your pet up to date on his/her vaccines? □ Yes □ No (Kennel Cough vaccine will be given at an additional charge)
o We require all pets boarding here to be Parasite Free. If we notice parasites we will treat immediately. (extra charge)
Is your pet on flea/tick preventative? □ Yes □ No type______________________
o All pet’s currently on medication must continue to take medication while boarding.
Is your on any medication? □ Yes □ No List all medication and dosing below:
There is an additional charge for administering medications
Please initial here__________ and list below the medications and dosing while here
Medication________________________________ □ Once □ Twice □ Three times a day
Medication________________________________ □ Once □ Twice □ Three times a day
Medication________________________________ □ Once □ Twice □ Three times a day
Services for Your Convenience (extra charges apply)
I Would like to have my pet examined before I pick up: □ Yes □ No
I Would like to have my pet bathed before I pick up: □ Yes □ No (Includes Toe Nail Trim, Ear Cleaning, Anal Glands Expressed)
I Would like to have my pet receive another service before I pick up: □ Yes □ No
What service?____________________________________________________________
Special Instructions:
_______________________________________________________________________
NOTE: There is no overnight monitoring of boarded pets.
