Antonio Animal Hospital Boarding Pet Information The doctors and staff at Antonio Animal Hospital would like to make your pets stay with us as comfortable as possible. Please help us by providing the following information: I am requesting ______________________ to board (please select kennel size below) from (date):__________________________ until (date and approximate time):_________________ *All prices include 3 walks and exercise per day* 32 square foot run, $55.00 per night Large kennel, $50.00 per night Medium kennel, $45.00 per night Small kennel, $40.00 per night (Dogs 10 pounds or under only) & Cat Kennel, $30.00 per night To prevent the spread of infectious diseases, boarding animals must be current on all vaccines. If vaccines are due, they are required for boarding. To prevent the spread of infectious parasites/worms, we recommend all boarded animals to be checked for internal parasites. (At a fee of $55) Our records indicate that your pet’s vaccinations are due: __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ **Required vaccines for dogs are: DA2PP yearly, Bordetella every 6 months and Rabies every 3 years** **Required vaccines for cats are: FVRCP yearly, FELV yearly and Rabies every 3 years** Would you like us to give your pet a bath before you pick him/her up? The price for a bath would be: _____________________ Yes No Would you like for us to do a bath special? The bath special includes a nail trim, routine ear cleaning and anal gland expression. The additional charge is $25. Yes No Please provide us with contact numbers to reach you while you are away: __________________________________________________________________________________ __________________________________________________________________________________ In the event of an emergency and we are unable to reach you, please give us the name and phone number for someone authorized to make decisions on your pet’s behalf in your absence: __________________________________________________________________________________ Feeding Instructions: Please feed the hospital brand food provided. I have brought my own pet’s food. Brand: _________________________________ Feeding instructions: __________________________________________________________ Please list any belongings you are leaving here with your pet (toys, blankets, etc): __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ If you are leaving any medication with your pet, please list the medication and dosage here: __________________________________________________________________________________ __________________________________________________________________________________ When did you last give your pet this medication? _________________________________________ I authorize Antonio Animal Hospital to care for my pet(s) while I am away. In the event of a medical emergency, I authorize Antonio Animal Hospital to provide any necessary emergency medical treatment to save the life of my pet and agree to pay all charges incurred. I have requested that my pet(s) be taken for outdoor walks during his/her stay at Antonio Animal Hospital. I am aware that my dog will be walked with a slip-lead leash and every reasonable care will be taken to protect my pet. However, in the event my pet should get loose or hurt while on a walk, I release Antonio Animal Hospital from all liability. Veterinary services during night time hours, some daytime hours, and/or weekends, is provided at the discretion of the veterinarian in charge. Continuous presence of personnel may not be provided during these hours. I understand that according to the Abandonment Law of California, if any animal is NOT picked up within fourteen (14) days AFTER pick up date noted, the animal is considered abandoned. I also understand and agree that in the event of default, I am responsible to pay reasonable collection charges and/or attorney fees. Owners Signature: __________________________________________________________________ Date: ________________________________________