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Boarding Form
Please complete the form below prior to boarding.
APPOINTMENT
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Name
*
Email
*
Packages
Canine Package
Happy Camper = #1 (Comfortable Accommodations, 3 walks, fed 2-3 a day)
Savvy Snacker = #2 (Comfortable Accommodations, 3 walks, fed 2-3 times a day, snack of choice)
Marathon Mutt = #3 (Comfortable Accommodations, 3 walks, fed 2-3 times a day, snack of choice, social time)
Poochy Paradise = #4 (Comfortable Accommodations, 3 walks, fed 2-3 times a day, snack of choice, social time, bedtime cuddles)
Available Canine Snacks: Peanut Butter Kong, Pup cup (seasonal), cookie
Feline Package
Happy Camper = #1 (Comfortable Accommodations, fed 2-3 a day)
Savvy Snacker = #2 (Comfortable Accommodations, fed 2-3 times a day, snack of choice)
Marathon Meower = #3 (Comfortable Accommodations, fed 2-3 times a day, snack of choice, social time)
Purr-Fect Paradise = #4 (Comfortable Accommodations, fed 2-3 times a day, snack of choice, social time, bedtime cuddles)
Available Feline Snacks: Tuna, Churu, Greenies
Available Add ons (choose one)
Paw-parrazzi (picture text message)
Tree time (15 minutes, cats only)
Social Time (15 minutes, dogs only)
Will you pet be receiving any medications or supplements during their stay with us?
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Yes
No
Medication Information Sheet
Medication Name #1
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Dosage
*
Refrigeration needed?
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Yes
No
Instructions
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Please make a note if medications are to be given at a specific time.
Quantity brought
*
Reason for medication
*
Medication Name #2
Dosage
Refrigeration needed?
Yes
No
Instructions
Please make a note if medications are to be given at a specific time.
Quantity brought
Reason for medication
Medication Name #3
Dosage
Refrigeration needed?
Yes
No
Instructions
Please make a note if medications are to be given at a specific time.
Quantity brought
Reason for medication
Medication Name #4
Dosage
Refrigeration needed?
Yes
No
Instructions
Please make a note if medications are to be given at a specific time.
Quantity brought
Reason for medication
Medication Name #5
Dosage
Refrigeration needed?
Yes
No
Instructions
Please make a note if medications are to be given at a specific time.
Quantity brought
Reason for medication
Medication Name #6
Dosage
Refrigeration needed?
Yes
No
Instructions
Please make a note if medications are to be given at a specific time.
Quantity brought
Reason for medication
I request that Companion's Choice Animal Hospital give the above medication(s) to my pet while boarding at Companion's Choice Animal Hospital.
*
I have read and understand.
I understand that there is an additional charge added to the daily boarding rate for this service. I agree not to hold the staff or facility responsible for any undesired reaction which may occur from any of the medication(s) listed above.
*
I have read and understand.
Signature
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Clear Signature
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