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Champions Forest Animal Clinic
Boarding Agreement

Please print this form, fill it out and bring with you.

Pet Information
Pet 1
Name:
Paid Bath: Y N
Weight:
Feeding (Purina EN is our Kennel Food)
Kennel food Own food
Dry Canned
How much: AM PM
Special feeding instructions:

Medications
All medications should be clearly identified and will be administered by our nursing staff.
Pet 2
Name:
Paid Bath: Y N
Weight:
Feeding (Purina EN is our Kennel Food)
Kennel food Own food
Dry Canned
How much: AM PM
Special feeding instructions:

Medications
All medications should be clearly identified and will be administered by our nursing staff.

Bedding/special items: Please list all items brought for the comfort of your pet. ALL items should be labeled clearly with your name. We will try to return your items in the same condition as received, but we can make no guarantees. Items will be laundered before going home.

Vaccination Policy: I understand that state law requires rabies vaccination for all pets. I also understand clinic policy requires current Distemper/Parvo and Bordatella vaccinations for dogs and current Feline Distemper vaccine for cats. If evidence of fleas present, topical flea drops will be applied. I understand that there is an additional fee for this service.

Medical Illness Policy: The clinic will use all reasonable precaution against injury, escape, or death of your pet. The clinic and staff will not be held liable for any problems that develop provided reasonable care and precautions are followed. While boarding here, medical attention is readily available should the need arise. If one of your pets becomes ill during their stay, we will make every effort to contact you at the numbers provided. If no one is reached, treatment will be started as deemed necessary by the Doctor for your pet’s best interest. I understand that any problem that develops will be treated as noted above and I assume full responsibility for the treatment expense incurred.

Date: Signature:
Owner/Agent
Emergency contact:
Emergency numbers:
Check-in Date: Pick-up Date: AM PM