Boarding Release Form

Boarding Release Form

This form is for pets boarding at the clinic.
Owner's Full Name *

First Name Last Name
Pet's Name *
Arrival Date *

- Month - Day Year
Date
at
: Hour Minutes
Departure Date *

- Month - Day Year
Date
at
: Hour Minutes
Phone Number where I can be reached during the above dates *

- Area Code Phone Number
Please list other emergency contacts in the event you can not be reached during the boarding dates. Please give name(s) and phone number(s). *
While your pet is boarding with us, how would you like us to proceed if we have questions or concerns? *

The doctor may proceed with the indicated treatment and care of my pet as long as the cost is within the amount entered below. (This is in addition to the boarding cost.) Do not proceed with any treatment until the doctor is able to reach me. I authorize my emergency contacts, listed above, to make any medical or financial decisions about my pet during the boarding period.
If proceeding with treatment, cost is approved up to this dollar amount: *
Personal Care

Tell us about your furry friend
Diet *
What do you feed your pet?
How do you feed your pet? Food type, quantity and frequency: *
Tell us what type of food, how much, and how frequently you feed your pet. You can be as detailed as you like. For example, 1/4 cup of Wellness Core kibble with a tablespoon of Recovery on top. If food is not provided, we feed Royal Canin Young Adult or other Royal Canin maintenance food.

What medications or supplements do you give your pet?

Personal items left with your pet during boarding: *
For multiple pets from the same family, I would like them housed together pending veterinary approval.
Any other information to share with us?
Permanent Identification Microchip Placement Requested

Yes ($49) No, Thank you My pet already has a microchip.
Nail Trim Requested
Overnight care at SFPC is unsupervised at times outside of normal business hours. Sunday and holiday are consists of multiple visits by trained staff members. All other hours on Sundays and holidays are unsupervised.

By entering my name below, I certify that I own the above animal, or am responsible for it, and I hereby consent and authorize Sherwood Family Pet Clinic veterinarians and staff to board my animal. I acknowledge that no assurance or guarantee has been made except reasonable precautions against injury and escape. I certify that I am the responsible party for the above animal and assume all financial responsibility.
Boarding authorization *

First Name Last Name
I am *

the owner a friend or family member of the owner the pet sitter
Should be Empty: