Please complete this form with all your pet's care information for every boarding visit.
Client's Name
Pet's Name (s)
Please list all pet's that will be boarding together in the same kennel.
Boarding drop off times are 8:00 am to 4:00 pm Monday-Friday and 8:00 am to 10:00 am on Saturday. The office is not open on Sundays.
Drop Off
Pick up
Boarding pick up times are 8:30 am to 5:00 pm Monday-Friday and 8:30 am to 11:00 am on Saturday. The office is not open on Sundays.
Feeding
ie- kennel food, own food
What brand of food?
How Much
ie- 1/2 cup, 1 cup
How Often
ie- once a day, twice a day, free feed
Does your pet need feeding in the morning when you drop off?
Does your pet need feeding in the evening when you drop off?
Please bring medications in their ORIGINAL BOTTLES including the label with dosing instructions from your veterinarian.
Prescriptions
Name of Medication (s)
ie- 1/4 tablet, 1/2 tablet, 1 tablet
ie- once a day, twice a day
Does your pet need medicating in the morning when you drop off?
Does your pet need medicating in the evening when you drop off?
Special Medicating Instructions
We will happily provide food, toys, treats, bowls, and bedding for your pet, it is not necessary for you to bring these items.
We will do everything to protect your belongings. We are not responsible for damage or loss of items. Please list all items, in detail, left with your pet.
Services
Doctor Preference
Other Service
Please note if your pet has a medical condition, illness, or special need.
For the protection of all the pets and staff at Camp Countryside, each animal that boards will be given vaccinations if needed. All boarding dogs should be vaccinated at least one week prior to boarding and must provide proof of rabies, distemper, influzenza vaccines, and both a kennel cough vaccine and the intranasal bordatella. Intestinal parasite testing is required every 6 months for all boarding dogs, and if test results are positive, your pet will be treated. Cats are required to have been tested for Feline Leukemia/AIDS and Rabies, Distemper, and Leukemia vaccinations.*
Your pet will receive a brief complimentary exam and nail trimming. Medication and medical care, including any emergency care, will be administered to your pet if it is in our professional medical opinion necessary for the comfort and well being of your pet and a healthy environment for other pets. Regular fees will apply.*
If there is any evidence of fleas found on your pet, a bath, flea pill, topical treatment, or appropriate treatment will be given.*
Complimentary baths are given to dogs after a minumum of 4 nights, if your dog does not board for 4 nights and you request a bath, regular fees will apply. If you request a doctor examination, regular fees will apply.*
I give Countryside permission to take pictures of my pet for the purpose of publishing online or on social media.*
All services will be rendered at our normal fee and payment will be due in full at the time your pet is discharged from boarding. Please let us know if you have any questions or concerns about your pet. If you have read and agree to the policies of Countryside Animal Clinic, please sign below as owner or agent.
Signature
Emergency Contact Name
Emergency Contact Phone Number
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