Boarding Release Form

Please fill out and submit the form below, or if you prefer: download, print and bring the form in to the clinic.

Please note that completing this form does NOT reserve a boarding space for your pet. You must call the office and reserve a boarding space with a credit card. In order to avoid cancellation fees, all cancellations must be made by calling the office no less than 48 hours in advance of your reservation.

A new form must be submitted each time for each pet to be boarded.


Owner Name [First and Last] *

Phone [Best Number to Reach You] *

Email Address *

Pet Name *

Date Dropping Off *

Date Picking Up *

Does your pet have its own food?

How much do you feed?

How often?

Would you like Boarder Plus care for your pet for an additional charge? *

If YES, how many times during your pet's stay?

Does your pet require medication?
[Pets requiring medication will be medicated for an additional fee.]

Medication name and directions

Does your pet require special handling or have special needs?

Procedures - Please check any procedures to be done while your pet is with us.


In case of an emergency, please call at .

CONSENT