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BOARDING CHECK IN

Pets must be dropped off/picked up during regular business hours: Monday - Friday from 7:00am - 5:30pm Saturday from 8:00am - 12:30pm

Last Name:__________________________________ Pet's Name:________________________________________ Arrival Date:_________________________ Pick-up Date____________________ Pick-up Time________________ List of personal items                                                         Special instructions for medications, food, etc. ______________________________________              _______________________________________________ ______________________________________              _______________________________________________ ______________________________________              _______________________________________________ ______________________________________              _______________________________________________ ______________________________________              _______________________________________________

___________________________________________________________________ WE CANNOT BE RESPONSIBLE FOR ITEMS LEFT WITH YOUR PET

* For multiple pet boarding, would you like your pets to be together in the same run or cage? [ ] yes [ ] No    * Do you wish to have your pet bathed before going home?  [ ] yes    [ ] No    * Do you wish to have your pet's nails trimmed?   [ ] yes   [ ] No Your pet is welcome, his/her fleas and ticks are not.  If your pet has fleas or ticks, he/she will not be admitted into the kennel area until they have been treated at owner's expense.  This is done to protect all of our boarders. In case of an emergency, please contact:___________________________________________________________ At phone #________________________________.  If unable to contact, I give St. Francis of Assisi permission to treat my Pet(s) as necessary. _______________________________________                                   _____________________________ signature                                                                                                   Date

___________________________________________________________________ FOR OFFICE USE ONLY

Vaccinations required                       INT               Treatments required                                                         INT ________________________         ___              ______________________________________             ___ ________________________         ___              ______________________________________             ___ ________________________         ___              ______________________________________             ___ ________________________         ___              ______________________________________             ___ ________________________         ___              ______________________________________             ___ AC ___________________________________________________________________________________ ______________________________________________________________________________________ ______________________________________________________________________________________

Weight:____________   Reservation # _________________ Pre-paid_______________ Technicians: Check in:_____________ Check out_______________ CPS________

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