Boarding Form

Client Information

Client Name

Address

Phone Number

Patient Information

Patient

Species

Breed

Sex

Color

Weight

Boarding dates

Medications (Please list medication and directions):

Toys or personal belongings:

Does your pet have any behavioral or medical problems we should be aware of?:

Additional requests or notes to kennel staff:

Emergency Contact

Emergency Phone

Diet Own FoodKennel Food (We feed Science Diet)

Special diet

Vaccines

For your pet’s protection, all vaccines must be current. We require written proof of vaccinations, including Rabies, DA2P, and Bordetella/Para, for all dogs and FVRCP and Rabies for all cats that board. If you are unable to provide proof of these vaccinations, our doctor will provide a comprehensive physical exam and appropriate vaccines, which are your financial obligation. Please note that many vaccines do not take affect for 10-14 days, therefore be sure your dog is vaccinated before boarding for optimal wellness. Your Pet must be free of internal and external parasites, including fleas and ticks. If not, we will treat Your Pet at your expense. Also, if you are boarding two or more dogs and ask that they stay in the same kennel, we will not be held liable for any injuries sustained while in kennel together due to pets fighting. I agree to and understand this policy.

IMPORTANT: By accepting I give permission to the Doctors to treat an illness or injury arising during my pet stay

Todays Date

Boarding Form

Client Information

Patient Information

EAST CAROLINA VETERINARY REFERRAL AND TRAUMA CENTER (Wilmington)

ANIMAL EMERGENCY HOSPITAL OF THE STRAND (Myrtle Beach):

POINTS EAST VETERINARY EMERGENCY HOSPITAL (Fayetteville):