Boarding Pass Boarding Pass - Please fill out completely!Name of pet: *Arrival Date *Departure Date *Would you like for your animal to be bathed? *YesNoHow many times do you feed your pet per day? *123Quantity of feed per feeding: Please list all medications and directions. *Does your pet need a doctor exam while boarding? *YesNoIf yes, please list any concerns. Please list all belongings in detail that will be coming with your pet (toys, blanket, etc) *Emergency Phone Number *Where can we reach you if your pet has an emergency?Medical representative name and number *If we can't reach you, who can we call in an emergency?Please check the box beside each item to indicate your agreement. All boxes must be checked. *While your pet is boarding at Preston Center Animal Clinic, we will always care for any medical needs that arise. We will not call you concerning minor treatments (ex. internal or external parasites, ear infections) and will keep the charges for these treatments to a minimum. *If an actual emergency or more complicated medical concern arises, we need to be able to contact you or your representative to discuss medical decisions, treatments and charges. If we are unable to reach anyone, we will proceed with treatment as needed while continuing attempts are made to reach you.I have read the above and understand that I will be responsible for any cost incurred in treatment during the boarding of my animal. Electronic Signature: By typing your name in the box below, you are legally signing this document in an electronic format. Please type your full name as your electronic signature *Date *We will call you shortly to confirm your boarding reservation. Thank you for choosing PCAC! VerificationPlease enter any two digits *Example: 12This box is for spam protection - please leave it blank:
