This form is meant as a one-time form for our clients to fill out. It is not a form to request a day for your dog to come in. If you are looking to schedule a day for your dog to come in, please give us a call: 610-825-8895.

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Doggy Day Boarding

Home away from home



Client's First Name
Client's Last Name
Phone Number
Client's Address
Secondary Contact Name
Secondary Phone Number
Pet's Name
Pet's Breed
Pet's Birthday, so we can celebrate (include the year)!
Does your pet have any behavioral challenges or needs?
If you answered yes, what are they?
Is your pet on any medications? Including behavioral
If you answered yes above, what are they?Please be detailed about the name, dose and frequency
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Do we have permission to treat your pet in case of illness?Additional charges will apply
Add the dollar amount
In the case of a life threatenting emergency, would you like us to perform life saving resuscitation?Additional charges will apply
Does you pet have any current medical conditions?
If you answered yes, what conditions?
Does your pet have any allergies?
If you answered yes, what allergies?
Has your pet ever bit anyone?
If you answered yes, describe the circumstance
Does your pet require any special instructions?
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Do we have permission to post pictures on our social media?

ABANDONMENT OF ANIMALS: If the client does not pick up or call within 3 days after the agreed upon pick up date, a certified letter will be sent regarding the animal's abandonment. If the pet is not claimed and fees paid within the specified time set forth in the letter, the client will relinquish all rights to this abandoned animal. The animal inquestion will become the property of Hickory Pet Inn/Hickory Veterinary Hospital.

Kennel Cough Informed Consent: We make every effort to ensure our facility is free of diseases including Canine Infectious Tracheobronchitits (Kennel Cough) and Canine Influenza (CIV). Despite our best efforts, we cannot guarantee that your pet will not be exposed to a strain of "Kennel Cough" or any other respiratory virus that is not covered by the current vaccine.

With this being said, if your pet does present with signs of an upper respiratory infection (a dry hacking cough that ends with a retch and/or nasoocular discharge) please call us as soon as possible. We need to be informed of any and all potential cases in order to safeguard the pets in our facility.

I, the undersigned, have been informed and fully understand that my pet could possibly contract Infectious Tracheobronchitis or Canine Influenza despite being vaccinated. In the event that my pet does become ill, Hickory Veterinary Hospital will evaluate at no charge but any diagnostics, medications and/or treatment will be at my expense.

Vaccines Required: To prevent the spread of infectious diseases and parasites daycare, playcare and boarded animals must be current on all vaccines and free of internal and external parasites. By writing your name below, you agree that in the event you cannot provide written proof of such vaccines, you authorize the doctor to provide vaccines and parasite control as needed for your pet.

*If fleas or worms are noted during your dogs stay, a capstar/ dewormer will be given and a monthly flea preventative will be recommended under the owner's expense.

My dog is up to date on their vaccines (Bordetella, Influenza, DHPP and Rabies (To be required 1 week before boarding))
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By typing my name here I acknowledge that I have read and agree to all of the above.
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