Phone * Email * Phone Emergency Contact's Name * Emergency Contact Phone * Second Emergency Contact's Name Second Emergency Contact Phone Distinguishing markings/indefinable features * Vaccines
Required Vaccines for Dogs
Parasite Prevention Flea & Tick Preventative Charges Emergency Charges Cancelation Policy Health Care Information If, at any time during your pet’s stay, a medical concern arises that does not require immediate attention, you will be contacted and advised of the situation, and we will follow your instructions. In the event of an emergency situation or injury that requires IMMEDIATE medical attention, we will make every attempt to contact you and your emergency contacts for instruction. If we are unable to reach you or your emergency contacts, we will proceed with the minimum necessary, life-preserving treatment at your cost. If you would like us to go ahead with the full treatment recommended by the doctor, please specify below: * Play Groups
Play groups are offered throughout the day for dogs boarding with us. Playgroups are monitored at all times by a caretaker and are held at the boarding staff’s discretion. If a dog is not a good candidate for group play, they will be given one-on-one playtime and bathroom breaks with a caretaker each day. If your pet is over six months of age and not spayed or neutered, they will not be allowed to take part in playgroups. They will be given one-on-one playtime with a caretaker every day and private bathroom breaks until they are spayed or neutered.
If for any reason, you would like your dog to not be a part of playgroups, we will gladly accommodate your wishes. Please indicate your choice below: * Feeding Instructions Please list feeding instructions for your pet in the box below. We do ask that you bring your dog’s regular food and have it portioned into individual bags or small containers for each meal. *Exceptions are made for wet food/homemade dog food and for extended stays/multiple dogs. Please call the clinic and speak with boarding staff if you have any questions.* * If more than one pet is kenneled together, do your pets need to be fed separately? * Does your pet have any food restrictions/allergies? * Is your pet allowed to have treats provided by us? * Does your pet resource guard food, food bowls, or desirable treats? * Medication Instructions Please list any current medications or supplements you will bring for your pet and the dose, frequency, and time given. Please also include how best to give your pet these medications (i.e., pill pocket, in wet food, etc.) *
Routine medications are administered at no cost. Pet’s requiring insulin are charged an additional fee per day. Pet’s requiring special care (i.e., large quantities of medications, assistance from medical staff to administer medication, or medications at frequencies outside of the typical boarding schedule) may be charged an additional fee. Fees will be charged at the discretion of our staff. These fees will be discussed with you prior to payment. Please speak with boarding staff about pricing if you know your pet may require additional care during its stay.
Health Concerns Does your pet have any health concerns or physical limitations/restrictions that we need to know about? * General Behavior & Training Please select any of the following behaviors that apply to your dog: * Are there any other behaviors or behavioral concerns that we need to know about? Has a situation ever arisen that caused your dog to bite a person or another animal? * Are there any other special needs, comments, or other information about your dog that you feel might be helpful for us to know to ensure that your dog’s experience is the best possible? If your dog has had any basic obedience training, or there are commands frequently used with your dog, please check the commands your dog knows: * Please list any other commands or hand singles you would like us to use while your dog is here Liability/Release Statement I am the legal owner of the above-mentioned pet. I certify that the information provided in this form is accurate to the best of my knowledge, and I have not withheld any information regarding our pet’s/pets’ health or behavior that could endanger our pet(s) or other pets or staff in the facility. Should any of this information change before a future boarding stay, I will notify Badger Veterinary Hospital. * I understand that there are inherent risks to bringing my pet(s) to a boarding facility. I agree that Badger Veterinary Hospital will not be liable for any claims of injury, illness, damage, or death to my pet during its stay and that under no circumstances will Badger Veterinary Hospital be liable for consequential damages. I agree that I am responsible for any harm caused by my pet while in the care of Badger Veterinary Hospital. I shall indemnify Badger Veterinary Hospital against any claims made against it or for losses or damages suffered by Badger Veterinary Hospital as a result of my pet. I understand that I will be responsible for any and all costs incurred during this and any future boarding stays. *