"*" indicates required fields FacebookThis field is for validation purposes and should be left unchanged. Monday-Friday 7:30 am - 7 pm Saturday & Sunday 9am - 5pm Phone: 941-747-7107 Client InformationClient's Name* First Last Today's Date* MM slash DD slash YYYY Phone*Email* Patient InformationPet’s NameCheck-in Date MM slash DD slash YYYY Check-in Time Hours : Minutes AM PM AM/PM Check-out Date MM slash DD slash YYYY Assigned Suite/Condo(s):LODGING INFORMATIONShould we leave the towels/blankets in the suite/condo,or should we remove them?Who will be picking up pet(s) from boarding:As we are not a hurricane shelter and do not have emergency generators to operate the air conditioners, in the case of extended power outages or dangerous conditions, who will pick up your pet in the case of an emergency closure?Emergency Contact phone and email contact info?Communication preference for non-emergencies? Phone call Text Email BELONGINGSWe allow clients to bring personal items for their boarding pet such as a bed, blanket, food, treats, toys, etc. All containers must be no larger than a 1-gallon ziplock bag. We cannot accept large food containers due to the limited size of each pet's storage cubby.List all belongings (include description and quantity) you brought in with your pet including leash, collar, harness, food, treats, toys, beds, blankets, medicines, etc.FEEDING & TREAT INFORMATIONDoes your pet have any food allergies? Yes No If yes, describe:Are we feeding your food or our dry kennel food? (A $3.25-$5.25 charge per day will apply for dry kennel food based on species and weight).How many times each day should we feed your pet?Feeding instructions?When should we give the first meal?If your pet runs out of food, do we have permission to feed our kennel food?Did you bring treats to be given to your pet?Treat Instructions and time of day?How many?We offer Purina Forti Flora probiotics to help to prevent stomach upset. Would you like your pet to receive them? The price is $2.07 per packet/day.MEDICAL INFORMATIONWhat flea medication has been administered for your pet and when did you give it?Describe all medical conditions your pet may have.Does your pet have any medication allergies? Yes No Describe allergies if any:What medications should we give your pet(s) while boarding? If we cannot give your pet medication while maintaining safety for your pet and our team members, we will not give the medication.What are instructions?When should we begin giving medications?When if other time:A $4.75 per day medication charge applies if meds are given more than twice daily or if any injection is given. Does this charge apply to your pet? Yes No If your pet develops GI upset while here, can we give special food, medication or probiotics without calling for approval of price first? Yes No If a medical emergency were to occur with your pet, can our doctors treat without calling for approval of price? Yes No If your pet needs to be transferred to an animal ER, which one should we use?How should pet be transported to ER if necessary?Give name and contact info if personal contact will transport:In the unlikely event that your pet suffers a life threatening situation while in our care, should we attempt to resucitate your pet? Yes No EXTRASStandard boarding includes walks in the morning, midday and in the evening, but we do offer additional interaction sessions.Would you like for your pet to receive extra Hugs and Cuddles sessions for $6.00 each? Yes No Would you like for your pet to receive extra extra potty breaks for $6.00 each? Yes No Would you like your pet to receive a pedicure ($25), anal gland expression ($29) or bath ($30.73 - $66.43 based on weight) before going home? Yes No SPECIAL INSTRUCTIONSIs there anything else we should know about your pet?GENERAL POLICIESCAMC makes every effort to keep your pet safe while in our care, but some things are out of our control. We need to make you aware of and have you acknowledge these policies. Please initial each line below:Boarding is charged by 24 hours periods based on time of drop off and pickup. If you drop your pet off at 10 am, your check out time will be 10 am on the morning of discharge. If you arrive for pick later than this check out time, you will be charged an extra day.*InitialWe are not staffed 24 hour a day. Our kennel staff arrives at 7:30 am and leaves each day at 7pm.*InitialWe take all dogs outside at least 3 times each day. We are not responsible for any bee stings, bug bites or injuries that may occur.*InitialWe use blankets and/or towels in the boarding suites and condos unless you ask us to remove them. We are not liable for any injury or illness if your pet chews or eats them.*InitialWe allow clients to bring toys and bedding from home. We are not liable for any injury or illness if your pet chews or eats them, and we are not responsible for replacement of any damaged items.*InitialAll pets must be current on our required vaccinations (Dogs: DAPP, Rabies, Bordetella, Influenza N2/N8) (Cats: FVRCP, Rabies) and flea control.*InitialIf your pet has a medical emergency while here, we will try to contact you. If we cannot reach you immediately, we will try to stabilize your pet. There may be additional charges incurred, and by leaving your pet here, you agree to pay for these charges.*InitialI understand and agree to follow the hospital's policies. I agree to pay all boarding charges incurred, and I authorize and agree to pay for all veterinary services requested and/or required on the Boarding Preventive Care Report(s).*InitialClient's Name* First Last Client's Signature*
