Pet's Name:
Owner/Agent's Name
Phone number where you can be reached:
I understand that I will be charged for the day of check-in, regardless of time, and that the check-out time is 12:00pm noon. (I will not be responsible for that day if picked up before noon. I will be charged for that day if picked up afternoon)
yes
I understand that if any vaccines are due or no proof of vaccines is shown AT THE TIME OF CHECK IN, according to The Family Pet policy, they will be administered and I will be responsible for all charges.
Yes
I understand that if I choose not to provide food for my pet, there will be a $2 charge per day to administer Forti-Flora with the hospital food to prevent GI upset.
Yes
I understand that should fleas be found on my pet, hospital staff will administer flea treatment (either topical flea medication or oral doses of Capstar) and I will be responsible for the charges.
Yes
I understand that additional charges will be added for handling if my pet creates unsanitary boarding conditions or is not easily manageable.
Yes
If my pet's fecal test results come back positive for intestinal parasites, I understand that I will be responsible for all charges for medication and/or treatments, including boarding in isolation.
Yes
understand that administering medication to my pet will necessitate and additional per-day fee.
Yes
I understand that my pet’s health is a priority and if I am not able to be contacted for authorization, after 12-24 hours (depending on the severity) basic or emergent medical care will be provided for my pet at the doctor’s discretion and that I will be responsible for the charges.
Yes
I understand that all charges will be due at the time of check-out.
Yes
I understand that in the event of a fire or natural disaster, The Family Pet will not be held responsible for injury or loss of life sustained.
Yes
I understand that if I bring any belongings to be left with my pet, there is a chance they will be lost and/or damaged. The Family Pet is not responsible for lost or damaged items.
Yes
The submission of this form indicates I understand and am in agreement with the terms listed above for all my above named pet's boarding stays for 1 year from 01-09-2020.
Yes
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