Boarding Release Form
Today’s Date__________________________
Check-In Date___________________
Check-Out Date________________________
Pet’s Name__________________________________
Description___________________________
Angel’s Rest Animal Sanctuary would like to take this opportunity to thank you for choosing our facility to board
your animal while you are out of town. We want you to know that your animal will be safe and well cared for at
this facility.
While your animal is in our care, permission must be given to treat the animal in case of an emergency. You will be
responsible for the services financially. Some problems that could occur would be loose stool, problems urinating,
coughing or a life threatening complication.
Although we do not expect or anticipate a problem while boarding your pet, we are not responsible for unknown
life-threatening conditions.
All animals must be up-to-date on all vaccines, including bordatella, in order to board at this facility.
Proof of Vaccines Submitted:
Check all that apply
Rabies
Distemper/Parvo (k9)
Leptosporosis (k9) Bordatella
Lymes (k9)
Leukemia (feline) Distemper (feline)
FIV (feline)
Signature of Owner________________________ Signature of Personnel Admitting__________________
Emergency Contact________________________ Emergency Contact’s Phone #____________________
Feeding Instructions: We feed Hill’s Science Diet Active Dog in-house, you may bring your pet’s own food if you
prefer.
Feed____ cup(s) dry with ____ can wet ____ times a day.
Special Feeding Instructions________________________________________________________________
_____________________________________________________________________________________________
Special Instructions______________________________________________________________________
_____________________________________________________________________________________________
Please list the items you will be leaving with your pet: _________________________________________________
_____________________________________________________________________________________________
Angel’s Rest Animal Sanctuary
P.O. Box 152, New Richmond, OH 45157
Tel.: 513-543-6570
www.angelsrestanimalsanctuary.org
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