Boarding Contract Boarding Contract Name * Name First Name First Name Last Name Last Name Email * Phone * Address * Address Address Address City City State/Province AlabamaAlaskaArkansasArizonaCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming State/Province Zip/Postal Zip/Postal Has your address or phone number changed? * Yes No Pet's Name * Age * Please list the following vaccinations your pet has received and their due dates (Your pet must be current on ALL vaccines in order to board with us.) * Has your pet been coughing or sneezing within the last three weeks? * Yes No I understand and agree that Advanced Pet Care of Clear Lake and its staff will not be liable for any health problems that develop from communal boarding. I acknowledge the risks of communal boarding including illnesses such as Kennel Cough. I certify to the best of my knowledge that, my pet has not been exposed to any communal disease with-in the last 3 weeks. I agree that I will notify Advanced Pet Care of Clear Lake of any known exposure of my pet(s) to communicable disease. I understand and agree to the terms above. What heartworm preventative is your pet currently on? * Due Date * Flea prevention * Check-in Date * What day are you picking your pet up? * Time * 121234567891011 : 00153045 AMPM Any pet picked up after 5pm will have an additional boarding fee. Is your pet on a special diet? * Yes No Which kind? Did you bring any with your pet? Yes No Amount of food * Frequency - Please Select -1x a day2x a day Are there any medications that we need to give your animal during your stay? (FEES MAY APPLY) * Yes No Medication Name Directions * Give morning or afternoon? * AM PM plus1 Add minus1 Remove Please specify any special procedures you would like for your pet while here. (Inform the receptionist – additional paperwork may be required.) If receiving services, at discharge would you like to: Schedule a discharge appointment with the Doctor Schedule a discharge appointment with a Technician Receive a discharge phone call from the Doctor Receive a discharge phone call from a Technician In Case of Emergency: Phone number where we may contact you? * Email * Emergency contact name if you can't be reached * Emergency contact number * May your emergency contact authorize medical treatment? * Yes No In any circumstance that arises while your pet is with us, we will do our best to manage the situation without any additional expense. I understand that I am responsible for any charges due to medical problems that may arise while my pet is boarding at Advanced Pet Care of Clear Lake. I understand and agree. If we cannot contact anyone, please choose one of the below * We may do all that is needed to diagnose and treat the problem. This includes transport to local EC if needed. We may do only minimal treatment and wait for authorization for further action. Boarding Policy Vaccines All animals must have current vaccinations (DHPP, LEPTO, RABIES AND SEMI ANNUAL BORDETELLA) FVRCP and Rabies for cats. If your pet is due for vaccinations within two weeks, vaccines must be given for your animal to board here. Fleas We flea comb each pet on entry. If live fleas or “flea dirt” is seen, a flea treatment will be done at the OWNERS EXPENSE.This is to prevent the spread of fleas and ticks in our kennel. Baths We highly recommend opting for a bath for your dog during their boarding stay. We do everything possible to prevent accidents, but some pets will have increased anxiety causing accidents. ** If your pet requires multiple baths during their stay then a charge of $21.50 will be added to your account. ** We recommend that you leave ALL toys and other material items at home. Advanced Pet Care of Clear Lake will not be held responsible for lost items..Advanced Pet Care also will not be responsible for any issues that arise from items that are brought from home by owner. Please list and describe items brought and left for your pet * In case of a hurricane or other natural or manmade disaster, we will do our best to secure the safety of your pet, but we cannot be held responsible for your pet’s fate. * I understand and agree to all of the above. Pets may be picked up Monday-Friday by 5:00PM Any pet picked up after established time will be charged an additional day. If you are leaving more than one animal for boarding, would you like them to stay together? * Yes No Which animals would you like in the same cage / run? * Some animals do not do well boarding in the same cage. Cage aggression or feeding time may be a problem. If your animals have a history of fighting we do not recommend they stay together. Advanced Pet Care of Clear Lake will not be held responsible for any damage the said animals may do to each other. If medical care is needed, the owner will be fully responsible for the charges. Additional boarding services available upon request Bath (includes minor brush, nail trim, non-medical ear cleaning) - prices vary on weight Nail trim (no file) - $20 + tax Nail trim (with file) - $40 + tax Play time - $16 for 15 minutes The Perfect Brush - $17 for 10 minutes Exquisite Tuck-in - $4/2+ nights, $3/3+ nights Staff will give your pet extra scratches, blankets and treats before we turn off the lights. How many playtimes would you like daily? * Total number of playtimes *Playtimes include 1 on 1 play with staff and 2 additional walks. Unable to do on weekends/holidays **I hereby grant permission to Advanced Pet Care of Clear Lake to use any photographs my pet in any or all of its publications, without any other consideration. * I grant permission I do not grant permission Signature * signature keyboard Clear Date * Submit If you are human, leave this field blank.
