BOARDING AGREEMENT
CANAL ROAD ANIMAL HOSPITAL
JULIANNA TAYLOR, D.V.M.
Boarding Dates:
Check-in Date__________ Day of the week: __________
Check-out Date_________ Day of the week: __________ Total nights: _____
Owner: __________________________________________
Please Check One
Bathe Medications
Pet(s) Boarding: ________________________ Yes No Yes No
________________________ Yes No Yes No ________________________ Yes No Yes No
Emergency Contact Information:_______________________________________________________________
Pet’s Belongings (Carriers, Toys, Etc.):__________________________________________________________
Special Instructions: Include detailed medication directions, feeding instructions and anything you wish Dr. Taylor to check: _____________________________________________________________________________________
___________________________________________________________________________________________
VACCINATION POLICY:
To insure the protection of all pets under our care the following must be up-to-date:
DOGS: RABIES DHLPP BORDETELLA CATS: RABIES FVRCP FELV
If not up-to-date, or unable to provide proof of vaccination, I give my permission to update my pet(s) vaccinations in accordance with the above policy.
Please Check One:
Please perform whatever services Dr. Taylor deems necessary for the best care of my pet(s) until someone can be reached.
This includes only non-elective treatments and necessary diagnostics.
Do not administer any medical treatment until specific authorization is given.
I have read and understood this agreement. If circumstances change, I will notify Canal Road Animal Hospital of a new pick-up date.
_____________________________ ____________________________________________________________
Date Owner/ Agent for Pet(s)
“THIS IS NOT CAKE BAKING THIS IS SKATEBOARDING!”
“WHAT WAS THE PURPOSE OF AMERICAN INDIAN BOARDING SCHOOLS
B YOUR PET WILL BE BOARDING HERE
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