Boarding Form Required Fields in Red Client Name: Pet Name: Phone: Drop Off Date & Time: Pick Up Date & Time: If you pick your pet/pets up after 12PM you will be a charged half a day fee Notes Feeding Instructions: Brought Food (Each meal is to be put into a separate Ziploc bag.) LAH Resort Food (Purina EN) Quantity How many times a day Treats Own Treats LAH Treats None Does your pet still need to be fed today? AM MealPM MealNone If boarding multiple pets, do they need to be fed separately? Yes ($6 fee per day)No Does your pet have any allergies to food/treats or are there special feeding instructions? Medications & Supplements:There is a fee of $2.00 per administration. All medications MUST be kept in their original container. Do NOT mix with food. Medication: Dose: AMPM3XRefill? Medication: Dose: AMPM3XRefill? Medication: Dose: AMPM3XRefill? Medication: Dose: AMPM3XRefill? Medication: Dose: AMPM3XRefill? Medication: Dose: AMPM3XRefill? When do we need to start medications? Pet’s Personal Belongings: (Lanier Animal Hospital is not responsible for lost or damaged items.) We wash all belongings the night before your pet goes home. Would you like to opt out and keep their things in the kennel? YesNo Flea Prevention: LAH is a flea free environment. If your pet is not on a veterinary approved flea preventative, then a Capstar (Flea Control Pill) will be given at the owner’s expense of $9.50. Current Flea Preventative: Date Last Given: Bathing Services (Dogs): All dogs that board 2 or more nights with us will receive a complimentary bath with ear cleaning. Please check the boxes below for any extra services your pet may need. If you would like for your pet to be groomed by our professional groomer please see below. Complementary Bath, no brush out, no nail trim or anal gland expression (Free)Nail Grinding - $25.00Anal Glands - $21.00 Professional Grooming Services (Dogs): Please check a box below if you would like an estimate for your pet to be groomed by our professional groomer. Full grooms, mini grooms, and bath and brush include a nail grinding, rainforest facial, external anal gland expression, ear cleaning, and fresh breath treatment. Professional grooming is an extra cost to you. This does depend on the groomer’s availability. Full GroomMini GroomBath and BrushBath and Brush with Furminator Treatment Grooming Instructions: Hygiene Services (Cats): If you would like your cat to have these services while he/she is boarded, please check one of the boxes below. Nail Trim - $20.00Sanitary Clip - $21.00 Dog Extras: If you would like your dog to have any extras services while he/she is boarded, please check the boxes below. Luxury Boarding comes with 1 group playtime, a picture and a webcam. Individual Playtime $18 (Per Play) with Deluxe & Small Dog Boarding # Group Playtime $9 (Per Play) with Deluxe & Small Dog Boarding # Webcam $1 (Per Day) (not available in small dog boarding) Additional Individual playtime w/ Luxury $9 (Per Play) # A picture is included with playtimes. If you have checked one of the playtimes please enter your cell number: *( The device we send pictures from is for photo sharing only and is not monitored.) If this is your first time using the webcam, be sure to get the instruction sheet at check in and confirm you are able to pull up the camera. Poor internet connections, including most cruise lines and international destinations may not always allow viewing. Veterinary Services: Does your pet need to see a veterinarian for any services? YesNo (Examination fee applies. Please allow time at check in for our technicians to get a history on your pet.) Are there any problems or concerns? Please list: IN CASE OF AN EMERGENCY OR ILLNESS: The doctors at Lanier Animal Hospital will make every effort to contact you or your emergency contact in the event your pet becomes ill (vomiting, diarrhea, coughing, sneezing, bleeding, etc.) during his/her stay with us. However, in the case we cannot reach you or your emergency contact within 8 hours we will do an exam & start medication on your pet at your expense, which typically does not exceed $250. We do not want your pet to suffer or to put other pets at risk for potentially contagious diseases. Special Instructions for Emergency Care: Your Contact Information: Name: Phone: Preferred contact method: CallTextEmail Primary Authorized Emergency Contact: Name: Phone: Email: Secondary Authorized Emergency Contact: Name: Phone: Email: Email (For communication while your pet is boarding, especially if you can not be reached by phone): I have received & signed estimate(s) for veterinary services, boarding services, and grooming services & agree to pay all charges. I have received & read the separate boarding policies document. Digital Signature Date