Boarding Form

Thank you for choosing our Boarding Facilities!

Our facilities will allow your pet to be as comfortable as possible while you are away. Please feel free to contact us for a tour of our facilities at any time. Please do not assume your boarding arrangements are confirmed until we have contacted you to confirm the requested dates.

IMPORTANT: Boarding dates and arrangements are not confirmed until you have received notification. A staff member will contact you by phone or email.

Name*
First Last
Pet Name*
Phone*
Has your pet stayed with us before?*
- Yes
- No
Drop off Date*
Date Format: MM slash DD slash YYYY
Drop off Time*

: HH

MM
Pick-up Date*
Date Format: MM slash DD slash YYYY
Pick-up Time

: HH

MM
Diet Type / Medications
CPVS Feeds Hill’s Science Diet Adult Sensitive Stomach kibble in canine or feline formulas
I have brought my pet(s) own food
- Yes
- No
Pet Name #1
Feeding Details
Morning Amount - Evening Amount - Free Feed Amount
Pet Name #2
Feeding Details Pet #2
If two pets are sharing one kennel, please specify feeding instructions below
Does your pet need medicine?
Extra $6 - $13 per treatment
- Yes
- No
If Yes, list which medication with amounts and special instructions if required
Pet Pickup
Is someone other than you allowed to pick up your pet?
- Yes
- No
If yes, what is their name?
First Last
List any belongings that are coming with your pet
Would you like a toe nail trim to be done while boarding?*
- Yes
- No
Current Health
Pet #1 Current Health conditions
Check any that apply
- Vomiting
- Diarrhea
- Coughing
- Sneezing
- Lumps
- Bumps
- Limping
- Stiffness
- Abnormal Eating
- Abnormal Drinking
- Abnormal Energy
Pet #2 Current Health conditions
Check any that apply
- Vomiting
- Diarrhea
- Coughing
- Sneezing
- Lumps
- Bumps
- Limping
- Stiffness
- Abnormal Eating
- Abnormal Drinking
- Abnormal Energy
Comments
*
- I hereby grant permission to CASTLE PEAK VETERINARY SERVICE (CPVS) to act on my behalf, and in my pet's best interest, by providing veterinary care at my expense, if deemed necessary for illness or injury. Should my pet pass away while boarding, I understand that CPVS will get my consent for its mean of disposition unless I do not respond within 10 days. I am aware that to board here, I must show proof that my dog(s) are current on the Distemper/Parvo combination and Rabies vaccines, and have had a Bordetella vaccine within the past six months. I must show proof that my cat(s) are current on the Feline Distemper/Leukemia combination and Rabies vaccine. If proof of vaccination cannot be shown or obtained from my previous veterinarian's office at the time of admission, I authorize CPVS to administer these vaccinations to my pet(s). I further agree to pay for these and all other veterinary services provided for my pet(s) during its stay at CPVS.
*
- This boarding facility agrees to exercise all due and reasonable care to prevent injury or illness to my pet. I also understand no one will be monitoring the animals during the nighttime hours. However, in the event of illness or injury, the owners and employees of CPVS shall not be held personally responsible for such injury or illness.
*
- I agree to pay all costs for any property damage or personal injury caused by my pet during its stay. I AGREE TO PAY ALL ANTICIPATED CHARGES AT TIME OF DROP OFF and I understand that CPVS reserves the right to hold my pet until said charges are paid. The fate of any animal left behind for 10 days beyond the agreed upon date of pick-up (without written notification or phone call) is left to the discretion of CPVS.
Total Boarding Fee Per Night
Day Board
- $40.50 per animal
Board Canine
- One pet per kennel $54.50
- Two or more pets in same kennel $44.50 per animal
Board Feline
- One pet per kennel $35
- Two or more pets in kennel $31 per animal
Toe Nail Trim
- Toenail Trim $30.20
Medications
- $6 - $13 depending on type of treatment. (Price is per treatment)
- $35.50 - Bordetella Vaccine
I have read and fully understand the terms of this agreement*
CASTLE PEAK VETERINARY SERVICES CANNOT BE HELD RESPONSIBLE FOR ANY PERSONAL ARTICLES (BLANKETS, BEDS, LEASHES, OR TOYS) THAT ARE LEFT FOR YOUR PET. PLEASE PUT YOUR PET'S NAME ON ANY ITEM THAT YOU DO LEAVE WITH YOUR PET.
- I certify that I am the owner/guardian of this animal. I give Castle Peak Veterinary personnel permission to administer any prescription/non-prescription supplements.

Boarding Form

Diet Type / Medications

Pet Pickup

Current Health

Total Boarding Fee Per Night

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