BOARDING RELEASE FORM

Client Name: ______Pet Name: ______

Boarding dates: From ______to ______

  1. Drop off times for boarding pets begin at 7:45 am until 30 minutes before the close of business.
  2. We do use over-the counter food for feeding the kenneled pets. If your pet is on a special diet or is a finicky eater, please bring enough of his/her food for the stay. Initials ______
  3. Please list all of your pets’ medications, in original dispensed bottles/packaging when you drop off. Instructions will be recorded at that time. The fee for medicating your pet is $2 per dosing, a maximum of $4 per day. Initials ______
  4. If your animal is not picked up by closing time of the facility, you will be charged for an additional day of boarding. Initials ______
  5. Sunday/Holiday pickups are available. The entire invoice for all boarding fees and medical fees, if applicable, must be pre-paid prior to pick up on Sunday. Initials ______
    Hours for Sunday pick up are between 5-6 pm ONLY. A phone call to the kennel attendant 1 hour PRIOR to pick up must be made for pet to be released as the building is locked and the attendant is caring for boarded animals during their shift. A $10.00 charge applies for the convenience of SUNDAY/HOLIDAY PICKUP. Initials ______
  6. While your animal stays with us you may request that we bathe him/her prior to pickup. Bath request: Yes______No______There is an additional fee for this service.
  7. We are not responsible for injuries that occur while boarding with us. We will however take every reasonable precaution to protect your pet, and will treat injuries that may arise (See Boarding Policies on next page). Initials ______
  8. I give Brandon Lakes Animal Hospital, the irrevocable right, permission and license to publish, reproduce and/or use my pet’s name and any still or moving photographic image, or sound recording in which he/she may be portrayed for the purpose of promoting the hospital any of its projects of promoting excellent care for pets and I relinquish any and all rights to said projects. Initials ______

BORDING POLICIES

The following policies for boarding your pet at Brandon Lakes Animal Hospital are to protect your pet’s best interests, health, and welfare during their stay with us.

-BLANKETS/BEDS ARE NOT PERMITTED IN KENNEL. We do not allow personal bedding in the boarding area due to the possibility of ingestion leading to significant medical issues. We are able to monitor the type of bedding we provide to ensure the safety of your pet(s). If bedding was brought along with you today, please take it home with you so that we do not misplace it. Initials ______

-ALL PETS ARE GIVEN CAPSTAR. This is to prevent an outbreak of fleas in our kennel and to reduce the risk of your animal getting them while here.
There will be a charge for the flea treatment of up to $10.00. Initials ______

-MEDICAL TREATMENT/EMERGENCEY HOSPITALIZATION. If your pet requires diagnostic test and/or medical treatments including overnight observation at an Emergency facility, attempts to contact you will be made. Florida state law requires us to treat your pet while it is in our custody.
APPLICABLE TREATMENT FEES WILL APPLY. Initials ______

We will do our best to see that your pet is happy and healthy while under our care. Feel free to call and check on your pet at any time during their stay. Thank you for understanding that these policies are for the safety and well being of all pets who have chosen to stay here and for peace of mind for their owners.

Food: Brand ______
Cup(s)/Can(s) - Amount______
(Please Circle) Once/Twice/Three times daily, or Free Range

Medications: ______
(include prescription, herbal & over the counter medications)
Med. Instructions: ______
______
______

Belongings: ______

Additional Instructions: ______

Emergency Contact: Name______Phone______

I ACCEPT AND UNDERSTAND THESE POLICIES:

Signature of owner: ______

Does your pet have any specific dietary needs?

______
Please list any health concerns or allergies:
______
Please list any recent surgeries or injuries:

______

Has your pet experienced any of the following over the past 2 Months:

YES NO

Weight loss/gain ______

Loose stool/diarrhea______

Coughing/wheezing ______

Decreased physical activity ______

Reluctance to jump______

Limping ______

Drinking more/less______

Decreased/increased appetite______

Vomiting______

Hair loss ______

Itching/scratching/biting ______

Would you like any of the above issues tended to while your pet is here? Yes______No_____

Client signature ______