Boarding Registration Form

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Please complete the Boarding Registration Form online before you drop off your pet. This form helps our team gather important information to better accommodate your pet’s stay with us.

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Boarding Registration Form

maximum medical your

Client Name:

Pet Name:

Check in Date:

Check out Date:

Email *

Will you be available by phone?

Yes
No

AM FEEDING INSTRUCTIONS

PM FEEDING INSTRUCTIONS

Medication

Dose

AM or PM?

Special instructions:

Please list ALL personal items brought for your pet:

Will your pet be getting any services/treatments while here? Please list below:

What is the maximum dollar amount you authorize for emergency medical treatment during your pet's boarding stay?

I understand that I am boarding my pet at a hospital, and I acknowledge that there may be contagious pets on the premises. Although stringent measures are in place to minimize the risk of transmission, complete isolation cannot be guaranteed.
I understand that there will be times when no personnel are on the premises.
I understand that if medical treatment is deemed necessary during my pet's stay, including annual exams, required vaccines or treatment for active flea infestation, it will be provided. Efforts will be made to contact me about care and associated fees. I am responsible for all charges for necessary medical care.
I agree to pay all charges for services provided by Martinez Animal Hospital upon discharge of my pet. Payments can be made by most major credit cards, CareCredit or cash. A credit card processing fee of up to 3% will be applied to all transactions made using credit/debit cards.
I understand that any personal items I have brought for my pet may be lost and I will not hold Martinez Animal Hospital liable for these lost items.

Signature *

Clear Signature

Date *

Boarding Registration Form

Boarding Registration Form

Special instructions:

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