Canine Boarding Release

MM slash DD slash YYYY
MM slash DD slash YYYY
MM slash DD slash YYYY
MM slash DD slash YYYY
Bath (at an additional cost)?
Heartworm preventative?
Flea control?

Feeding Instructions

Vaccination Policy

To prevent the spread of disease while your pet is in our care, dogs must be current on rabies, bordetella (within the last 6 months) and distemper vaccinations. It is the responsibility of the owner to provide proof of vaccination history from a veterinarian for each animal boarding. To insure the protection of all the pets under our care, the vaccinations listed above must be current prior to boarding. Animals whose vaccinations are not current will be examined and vaccinated by Village Veterinary Clinic prior to admittance at the owner's expense or they will not be allowed to board.


To help us take the best care of your cat, please select the appropriate answers:

Has your dog ever had a seizure?
Does your dog have hip dysplasia?
We want to know your dog as well as we can. The information below will help us take the best care of your dog while boarding. Please select appropriate answer:
Chews furniture, bedding, towels, etc?
Okay to leave bedding / towels in kennel?
Walks well on leash?
Has your dog ever bitten another dog or person?
Behavioral issues or destructive habits when left alone?
Does your dog get frightened by unfamiliar noises?
Has your dog ever jumped or climbed over a fence?
Is there any type if person (men, women, children) that your dog routinely dislikes or fears?
Are there any other areas on your dog's body that does not like to be touched (ears, paws, etc.)?

Requirements for Boarding

1. All animals must have proof of and be current on annual exams and all vaccinations: Rabies, DAP, & Bordetella.

2. All animals must be free of external parasites (ex. ticks, fleas, etc.), or they will be treated at owner's expense

3. Non-spayed females who are in heat during their stay require extra care: an additional fee will be charged.

4. All pets are boarded or otherwise handled or cared for by the Kennel without liability on Kennel's part for loss or damage by disease, theft, fire, death, running away, injury, or harm to persons, other animals, or property by said pet, or other unavoidable causes, due to diligence and care having been exercised.

5. Village Veterinary Clinic has my permission to do whatever is necessary should an emergency arise.

6. If a tranquilizer is necessary for treatment or handling, Village Veterinary Clinic has my permission to administer such medication.

7. Hospital diet is Science Det Sensitive Stomach and Skin or we will be happy to feed the pet food you provide in a labeled, sealed, varmint proof container.

8. There is a cancellation fee equal to the price of one night's boarding if Village Veterinary Clinic is not notified 48 hours in advance of your reservation.

9. Pets may be picked up or dropped off between 8:30 A.M. - 5 P.M. Monday through Friday. Saturday and Sunday pick up/drop off times are either 8:30 A.M. or 3:30 P.M by appointment. There is an additional charge for Holiday pick ups.


10. If pet is to be picked up by an individual other than the owner, the owner must provide written authorization for release of pet in advance and prepay fees or have individual bring payment at time of pickup.

11. Pets remaining after their scheduled pickup date without prior notification will incur a non-notification charge in addition to boarding fees.

12. If the doctor feels it is in the best interest of your pet for boarding staff to perform additional tender loving care, there will be an additional charge.

13. It is understood by Kennel and Owner that all provisions of this Contract shall be binding upon both parties for this visit and all subsequent visits. This Contract contains the entire agreement between the parties.

14. If boarded animals are unable to eat together at meal time, they will require separate kennels for the length of their stay.

15. ***Owner is responsible for Listing & Labeling ALL PERSONAL BELONGINGS prior to dropping off. Village Veterinary Clinic is not responsible if personal belongings are lost, stolen, or damaged***

If you are picking up after-hours pre-payment or credit card number on file is required.
We do not monitor animals after-hours.