Please print out this form and carefully fill out all sections. You will need to bring this form with you when you check your pet in for their boarding reservation. If your pet needs any medications given during their stay, please be sure to also fill out the Boarding Medication Form.

ARKLE Veterinary Care, LLC

1020 Concord Road, Smyrna, GA  30080

770-435-6700  Fax 770-434-4863

BOARDING FORM (front)

________________________________________              ___________________________

Owner’s Name                                                                     Pet’s Name

Boarding from  ___/___/___  To  ___/___/___           Approx. Time for PU: _____am / pm

Special Instructions:

___See medication form              ___No medications/treatments needed during boarding

Feeding: ______ times a day.  Feed (how much each meal) ______can ______ dry    

Other instructions______­_____________________________________________________

Items brought with pet: cLeash   cCollar  cBed  cToys  cFood  cOther______________

Do you want us to bathe your pet (if possible) before you pick them up?   c Yes      c No

    (We will be happy to give you an estimate for the cost.) 

For the protection of your pet and others:

1.      All dogs must have proof of current (within the last 12 months) vaccinations for Distemper, Parvovirus (DHP-P) and Rabies and Bordetella (Kennel Cough) within the last 6 months.

2.      All cats must have proof of current (within the last 12 months) vaccinations for Feline Distemper, Panleukopenia (FVRCP) and Rabies.

3.      We reserve the right to treat any pet brought in dirty or flea or tick infested as needed. We reserve the right to vaccinate any pet without proof of current vaccinations from an animal hospital.  Any costs incurred are the responsibility of the owner/agent of the pet.

4.   As owner/agent for this pet I give my permission for the doctor on duty to begin

            necessary treatments in the event my pet becomes ill.  I understand that I will be financially responsible for this treatment. I understand that every effort will be made to contact me or my agent (emergency contact) prior to extensive surgical/medical treatments.

5.      If estimated costs of treatment exceed $__________ I refuse treatment for my pet

without consent of me or my designated emergency contact person.

6.      All pets that receive medications while boarding will be charged a medication administration fee.

Emergency Contact(s):(Phone number & name)________________________________

___________________________________________________________________

___________________________________________________________________

I have read and understand this form.

_______________________________________                    __________________

Signature of Owner or Agent                                                           Date