Boarding Admissions Form

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Boarding Admission Form

Please fill out this form as completely and accurately as possible before your visit.

Boarding Admission Form Download

Click here to download the hard copy.

Boarding Admission Form for *

Owner/Agent's Name *

First

Last

Owner's Phone Number *

Layout

Pick Up Date *

Pick Up Time *

If someone other than pet’s owner will be picking up, please provide their name and contact information

First

Last

Pick Up Other Than Owner Phone

Boarding Fees

Canine Boarding Fees:
Under 30lbs - $28/day
31-60lbs - $30/day
61-90lbs - $32/day
Over 90 lbs - $36/day
Feline Boarding Fees: $28/day
Exotic Boarding Fees: $36/day

Fees are based PER PET. For clients boarding multiple pets, there is a $2 per pet/per day discount. *

Please type your initials to acknowledge you have read the above statement.

Would you like your pet to receive a BATH/GROOM before going home? (See below for applicable fees) *

Bath: If your pet will be staying 5 nights or longer we would like to offer your pet a bath (only) at a discounted price as follows:
Less than 30 lbs $25.00 (discount $12.50)
31 – 60 lbs $30.00 (discount $15.00)
Over 60 lbs $35.00 (discount $17.50)
Groom: Groomer will go over fees during your boarding check-in process.

If your pet unexpectedly becomes ill while boarding you authorize us to: (please select one) *

Perform all necessary procedures
Call before doing any procedures after immediate stabilization
Do nothing without prior consent (this may put your pet at risk)

Owner release

You are to ensure all reasonable precautions against injury, escape, or death of my pet. The clinic and staff will not be held liable for any problems that develop provided reasonable care and precautions are followed. I understand that any problems that develop with my pet while I am absent will be treated as deemed best by the staff veterinarians. If I neglect to pick up my pet within 5 days of the date above and do not notify you within that time period, you may assume that the pet is abandoned and are hereby authorized to dispose of the pet(s) as you deem best and/or necessary. Animal Doctors of Gray cannot be held responsible for lost or damaged toys, bowls and bedding

If fleas and/or ticks are SEEN on my pet, my pet WILL BE TREATED with an appropriate preventative and I assume full responsibility for the treatment expense involved (Cost ranges from $18.97 to $20.87): *

Please type your initials to acknowledge you have read the above statement.

Date *

Signature of Owner/Agent *

Clear Signature

Emergency Phone Number *

Website

Boarding Admissions Form

Boarding Admission Form

Boarding Admission Form Download

Boarding Fees

Owner release

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