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Cat Boarding Form

Feline Boarding Admission Form

Please note this a request. A staff member will call to confirm your reservation.

Step 1 of 18

Personal Information

Name(Required)

First

Last

Address

Street Address

City

State / Province / Region

ZIP / Postal Code

Contact Information

1st Phone Number(Required)

2nd Phone Number

Other Contact Forms

Pets Boarding

Name(Required)

****CHECK IN****

We realize there’s no place like home, but we will try to make your pet’s stay with us as comfortable as possible. To help assure that every pet’s stay is pleasant and comfortable we do require that all pets staying with us are current on their immunizations and free of parasites.

VACCINATIONS: For the protection of all pets, any necessary vaccinations must be given if due when your pet is admitted for boarding.

PARASITES: All pets must be free of internal parasites (worms) and external parasites (fleas and ticks), or they will be treated upon entry at the owner’s expense.

Date & Time of arrival(Required)

MM slash DD slash YYYY

Has your pet had any flea medications in the past 30 days?

If yes, what product was used and when was it administered?

REQUIRED PROCEDURES:
Rabies Vaccine (1 or 3 year)
FVRCP Vaccine (1 or 3 year)
Fecal Floatation Test (w/in 6 months)

A wellness exam will be performed if the pet has not been seen by one of our veterinarians and needs an updated vaccination or if a vaccine is due and the pet has not been examined within the last (6) months.

OPTIONAL PROCEDURES:
Annual Lab Work/Heartworm Test (Checked Annually)

ADDITIONAL PROCEDURES DUE OR SPECIAL INSTRUCTIONS

Boarding (Diet)

Does your pet have any food or medication allergies?(Required)

If yes, specify

Did you bring your pet's food today?(Required)

Type of food(Required)

Eaten today?(Required)

Amount to feed(Required)

All pets not on a special diet will be fed Science Diet Adult Maintenance during their stay.

Medications

Medicating fees: once daily $6.50 per day, twice daily or more $8.50 per day per pet.

Is your pet currently on medication?(Required)

Meds today?

Directions for Medicating

UPGRADES (Optional)

Would you like your pet to have our “lambs wool blanket” while here?

(Lambs wool blanket is a soft blanket given to each cat daily for an additional $4.50 per day)

Would you like your pet to have our “groom upgrade” while here?

(Groom upgrade consists of a 20 minute grooming session daily for an additional $6.00 per day)

PLEASE READ AND SIGN BELOW

Occasionally illness and emergencies do arise with boarding pets. For this reason we do require your permission to treat your animal should an illness or emergency occur. Minor concerns will be addressed at dismissal. If an emergency occurs we will make every effort to contact you.

Consent(Required)

I agree to the privacy policy.

I authorize Johnson County Animal Clinic to do whatever is necessary should require emergency treatment during his/her stay.

Signature(Required)

Date

MM slash DD slash YYYY

Contact Name(Required)

Contact Number(Required)

FACEBOOK: Can we post cute pics to our page?

I give Johnson County Animal Clinic LLC permission to use my pet’s picture during boarding or treatment for informational purposes on their website or facebook page. I understand Johnson County Animal Clinic LLC will protect my privacy and my pet’s privacy by not using names.(Required)

I do give permission

I do not give permission

****GOING HOME****

Pets will be discharged only during regular office hours.

Date & Time of dismissal(Required)

MM slash DD slash YYYY

Do you already have a boarding reservation scheduled with us?(Required)

Yes