Boarding Check in Sheet
Client: ________________________________
Pet:______________________________________
Emergency number: ______________________________________________________
Boarding from _____________ to ________________
My pet ________________________________ is boarding and he/she has the following items with them:
If applicable:








Food: Brand of food: _________________
How much is given: ___________________________________________________
Once a day: ______ Twice a day: ________Three times a day: __________
Any further instructions feeding my pet:
______________________________________________________________________________________
______________________________________________________________________
If my pet does not want to eat while boarding. I give permission for Ayers Animal Hospital to supplement
a different food for him/her to eat while in their care.
Medication: What medications is your pet taking:
______________________________________________________________________________________
______________________________________________________________________
Directions of the medications:
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________
When was the last dose given:
______________________________________________________________________________________
______________________________________________________________________
We highly recommend that your pet’s leash, collar, blanket and toys are NOT left with your pet due to the
potential risk of misplacing. We have many blankets and toys for your pet to have during their stay and
we have our own leashes we use for walking.
Leash Description:_______________________________________________________________
Collar Description: _______________________________________________________________
Toys Description:________________________________________________________________
Blanket Description: _____________________________________________________________
 In addition to the required outside time daily, I would like my pet to be walked:
 Once a day ________ twice a day________ three a day_______. I understand there will be an
additional fee and to be paid separately to the staff walking my pet.
I understand sometimes treatment is necessary I give permission for Ayers Animal Hospital to treat my
pet while I am out of town. Please provide any treatment determines will best care for my pet.
I do not give permission for Ayers Animal Hospital to treat my pet while I am out town and you must call
me before any treatment required at ______________________________________. I will be available at
any time at this number.
Health Care While Boarding
For the safety of all our patients and boarders, Ayers Animal Hospital maintains a strict policy of
preventative medicine. Our goal is to protect all the pets entering our hospital from parasites
and diseases.
VACCINATION POLICY:





Proof of current vaccination must be available for all pets.
If pets are not current, vaccinations will be given while here.
Dogs must be current on Distemper, Hepatitis, Parvovirus or protective titer results within
1 year, Bordatella (kennel cough), and Rabies.
Cats must be current on FVRCP or protective titers within 1 year, and Rabies.
Use of Heartworm preventative is recommended, but not required.
INTERNAL PARASITE POLICY:




Proof of a current negative fecal.
If pets are not current then a fecal test will be performed while your pets are here and
charged to your account along with any needed de-worming medications.
We check for fleas before admitting any pets.
If any are found we will treat flea prevention while here and it will be charged to your
account.
AGGRESSIVE ANIMALS:


We reserve the right to decline boarding aggressive animals.
If your pet becomes aggressive while boarding and endangers the risk of our kennel
personnel, technicians and doctors we will call you and have you make arrangements with
someone to pick up your pet while you are out of town. Our employees and boarders
safety is very important to us.
I have read and understand the above agreement.
Print Name: _______________________________________________Date___________
Signature: ___________________________________________________