Boarding Check In

"*" indicates required fields

Owner*

First

Last

Pet Name:*

PLEASE FILL OUT ONE FORM PER PET

Date Checking In*

MM slash DD slash YYYY

Date Checking Out*

MM slash DD slash YYYY

Any optional services requested?

Nail Trim (call ahead to pre-book to ensure availability)

Anal Glad Expression

Cleansing bath for dogs. (Not recommended for dogs with long hair or heavy coats)

Other

Based on availability if decided at check-in time. Call ahead to pre-book to ensure availability.

Do you have grooming scheduled with Judy?*

Yes

Grooming must be pre-booked in advance, usually 4-5 weeks ahead.

Date last flea & tick prevention was given:*

MM slash DD slash YYYY

What flea & tick product do you use?*

Feeding Instructions*

Free Choice dry kibble

Measured Out

Okay to have clinic treats (Pet does not have food allergies)

Feed Separate (Applicable to reservations with multiple pets)

Other diet

Amount of Dry Food*

Amount of Wet Food*

Please list all belongings coming with your pet (i.e. Blankets, Treats, Toys, etc.)*

We request that previously damaged items not be brought with pet for boarding.

AT ACTUAL CHECK-IN TIME, VERIFY WHEN NEXT DOSE OF MEDS IS NEEDED

Medication #1 Name

Strength and form of drug

Instructions

Medication #2 Name

Strength and form of drug

Instructions

Medication #3 Name

Strength and form of drug

Instructions

Medication #4 Name

Strength and form of drug

Instructions

Emergency Contact*

First

Last

Emergency Contact Phone*

Payment Info:

I will leave a check

I will leave my credit card information at check-in

If you are picking up when the clinic is closed (Saturday 5:00-5:15pm or Sunday 5:00-5:15pm) you will need to leave payment with us that our receptionists will process on the following Monday. We will email you a receipt. If picking up on a Saturday PM or Sunday PM, you are charged for that day.

Phone

This field is for validation purposes and should be left unchanged.