CARE ANIMAL CENTER
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BOARDING REGISTRATION FORM
Do We Have Your Pet's Shot Records? If Not, Please Have Your Veterinarian Fax Them To Care Animal Center 48 Hours Before Boarding Date. (334- 794-6852)
All Boarders MUST Have Up-To-Date Vaccinations! Otherwise, necessary vaccinations will be administered prior to entering our boarding facility.
Drop-Off Date Requested:
Check-In Time Requested:
Pick-Up Date Requested:
Pick-Up Time Requested:
Owner's Name:
Owner's Phone Number
Owner's Address:
Street 1:
Street 2:
City:
State:
AL
AK
AZ
AR
CA
CO
CT
DE
DC
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
Zip:
Emergency Contact Name:
Emergency Contact Phone Number:
Pet's Name:
Pet's Breed:
Canine Accommodations Desired:
Large Kennel
Small Kennel
Double Kennel
Run
Dog Condo
Feline Accomodations Requested:
Single Kennel
Single Condo
Double Condo
Will your pet require any medications while boarding?
Yes
No
If yes, please explain:
Would you like your pet bathed?
Yes
No
List your pet's belongings:
The hospital shall not be responsible for the loss, theft or destruction of any personal property left with the above pet.
How many times should we feed your pet per day?
1
2
3
Feed my pet in the:
AM
PM
Both
Tell us how much we should feed your pet:
Will you feed your pet prior to arrival for boarding?
Yes
No
Please list any special instructions (include detailed medication directions and anything that you wish the doctor to check for)
Please note: This is only a boarding request. Please do not assume that you have a reservation for boarding until you receive a confirmation call from a member of our staff. You will be contacted within 48 hours after your request has been submitted.
By Clicking The "Submit" Button, I Certify That I Am In Agreement With All Terms & Conditions For Boarding My Pet And I Fully Intend To Pick Up My Pet On The Above Date Specified. If Circumstances Change, I Will Notify The Practice Of The New Pick-Up Date.
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