Boarding Form Please fill this out prior to your pet’s boarding reservation. Name First Last Pet's Name Check In Date MM slash DD slash YYYY Playtime Requested? No Yes ($5.22/day, unavailable on weekends) Trail Walk Requested?Trail walks are available (weather permitting) weekdays except for holidays. Pets are harnessed to provide safety. Please fill out the "Trail Walk Form" if a walk is requested. No 1/2 mile ($7.70/day) 1 mile ($15.40/day) Personal ItemsPersonal Items will be labeled. We provide necessities such as bowls, bedding, toys, treats. We recommend keeping personal items minimal. We will NOT be responsible for items damaged or left behind. Own Food No Yes Feeding InstructionsWe provide Purina EN and Science Diet I/D to boarding pets. If they have sensitive stomachs, we recommend bringing their own food. Please note how much you feed, how often, and what you feed if providing your own food. Carrier Left? No Yes Collar/Leash Left? No Yes Dog RequirementsAll pets boarding at Vintage Heights Veterinary Hospital are required to be currently vaccinated and have a current annual Heartworm Check as well an an annual fecal check. Rabies, Distemper/Parvo and Bordetella are required for dogs. If your dog is vaccinated at another facility, you must provide documentation from a veterinarian. If you do not provide documentation, you will be charged for required vaccinations and service. Distemper/Parvo/Exam ($85.20) -required Bordetella ($24.75) -required Rabies ($24.75) -required 4DX Heartworm Test ($55.55) -required Annual Fecal Check ($55) -required Nail Trim ($21.50-$27.50) Cat RequirementsAll pets boarding at Vintage Heights Veterinary Hospital are required to be currently vaccinated. Rabies and Distemper and an annual Fecal Check are required for cats. If your cat is vaccinated at another facility, you must provide documentation from a veterinarian. If you do not provide documentation, you will be charged for required vaccinations and service. PRCC/Distemper $85.20) -required Rabies ($24.75) -required Annual Fecal Check ($28-$42) -required Nail Trim ($21.50-$27.50) Special Requests Grooming (Separate form required-must be scheduled in advance) Surgery (Separate form required-must be scheduled in advance) MedicationsPlease list any medications your pet is on, what the dosage is, how often they're given and when last given. Pet's requiring medication will be charged an administration fee of $3.40 per administration. Additional administer medication form required to be completed. Policy On Fleas/ParasitesIf your pet is admitted to boarding and has fleas/ticks, your pet WILL be treated with a preventative at your expense for a fee of $29.50. This is necessary to prevent the spread of fleas/ticks in our hospital and boarding facility. If your pet needs preventative upon arrival, please note below. No, my pet is current on preventative(s). Yes, I need preventative(s). If yes, what preventative(s) does your pet need? We do not board in-heat females. Intact male dogs older than 6 months cannot go out in daycare with other dogs. I understand Boarding AgreementIf your pet develops diarrhea related to the stress of boarding (most common), we will treat accordingly at your expense. If your pet develops an urgent medical condition while under our care, we will make every attempt to contact you at the emergency number you have provided. If we cannot reach you and your pet requires immediate veterinary care, appropriate treatment will be administered and all fees will be the owner's responsibility. After treatments have bee initiated, we will continue to try to make contact with you at the emergency number provided by you. We do NOT offer pick up times during closed business hours. Thank you for your cooperation. Please mark "I agree" in order to confirm your boarding reservation. I AGREE to the boarding requirements at Vintage Heights Veterinary Hospital. Please call me to complete form. Δ