Boarding Admission Form *All dogs must be current on the following vaccinations Rabies/Da2PPV/Bordatella*All Cats must be current on the following vaccinations Rabies/FVRCP*All boarders are charged by night need to pickup before 2:00pm or be charged for that night Name* First Last Pet's Name*Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Pet's InformationFood and Treats (amount for each meal)*Please include AM, PM and any snacksWalk (Inside/Outside)*Please include AM, PM and any snacksMedication*Please include Name/Dosage for AM/PMType of Food*Please include AM, PM and any snacksSpecial Instruction: List all items & label*When you drop off boarding:1. We request that dogs are dropped off for boarding no later than 5pm, so that they have ample time to play and settle in before being kenneled for the night.2. Please allow 10 minutes. This gives us ample time to make sure the appropriate paperwork and contact information has been provided in event we need to reach you.3. Please bring your dog’s food with you. Drop Off Date MM slash DD slash YYYY Drop Off Time : Hours Minutes AMPM AM/PMPick Up Date MM slash DD slash YYYY Pick Up Time : Hours Minutes AMPM AM/PMPersonal Items*If tranquilizer necessary for treatment and handling. I give permission for Montana Animal Clinic doctors and staff to administer such medications. All animals entering the hospital must be up to date on vaccination and free of external parasites, or they will be treated at owner’s expense.*In case of illness or injury, I, the undersigned, do hereby give my consent for the doctors of Montana Animal Clinic to treat, prescribe for , or operate on my pet(s) while boarding at Montana Animal Clinic.*They are to use all reasonable precaution against illness, injury, or escape of my pet, but they will not be held liable or responsible in any circumstances, on account of the care ,treatment, or safe keeping of my pet, as it thoroughly understood that I assume all risks.I have read the foregoing and agree. Signature
