Monday-Friday 7 AM to 7 PM
Saturday 9 AM to 4 PM

Boarding Form

Owner's Name*
Pet's Name*
Drop off Date*
MM slash DD slash YYYY
Pick Up Date*
MM slash DD slash YYYY
Pets are REQUIRED to be picked up by 5pm Monday - Friday, and by 3pm on Saturdays. If you need to pick up any later than the times listed, please speak to a KBAC receptionist so that we can accommodate you.
Pick Up Time*
Do you want your pet to have a bath before they go home?
Baths include nail trim, anal gland expression & ear cleaning.
- Yes
- No
FEEDING INSTRUCTIONS
Dry Food Brand:
Amount to be fed:
How many times a day? (circle one)
- Once Daily
- Twice Daily
Wet Food Brand:
Amount to be fed:
How many times a day? (circle one)
- Once Daily
- Twice Daily
Special Feeding/Dietary Instructions
Important notice: In the unlikely event that your pet runs out of food while boarding, we will feed them our in-house diet invoiced at our current rates
MEDICATIONS

ALL MEDICATIONS MUST BE IN THE ORIGINAL PACKINGING DISPENSED IN WITH LABELED INSTRUCTIONS. NO EXCEPTIONS
Name:
Instructions:
Last dose given:
Next dose due:
Name:
Instructions:
Last dose given:
Next dose due:
Name:
Instructions:
Last dose given:
Next dose due:
Name:
Instructions:
Last dose given:
Next dose due:
**IMPORTANT PLEASE READ ENTIRE CONTENT

For your pet's protection, all core vaccines must be current.
Canine Vaccines Required
Rabies
DHPP
Bordetella (must be updated every 6 months)
Bivalent Canine Influenza (effective 9/1/2021)
Feline Vaccines Required
Rabies (1 year)
FVRCP (1 year / 3 year)
Flea and/or tick prevention will be administered to your pet invoiced at our current rates if any are seen. In the event of an illness or injury, we will attempt to contact you at the number you provide on the form after we have stabilized and evaluated your pet. If we cannot reach you or your designated emergency contact, we WILL perform all necessary services your pet needs. Standard fees will apply to any treatments performed while your pet is boarding.
**Please check one of the following boxes.***
- PLEASE CONTACT ME OR MY EMERGENCY CONTACT PRIOR TO ANY TREATMENTS BEING PERFORMED ON MY PET (Except An Exam). IF I AM NOT ABLE TO BE REACHED OR I DO NOT CALL BACK BY 2PM THE SAME DAY, I UNDERSTAND THAT THE STAFF OF KBAC WILL PROCEED WITH ANY TREATMENTS DEEDED NECESSARY BY MY PET'S ACTING DVM.
- THERE IS NO NEED TO CONTACT ME OR MY EMERGENCY CONTACT PRIOR TO TREATMENT, PLEASE TREAT AS NEEDED.
KINGSLAND BLVD ANIMAL CLINIC IS NOT RESPONSIBLE FOR ANY PERSONAL BELONGINGS LEFT WITH YOUR PET. DO NOT LEAVE ANY ITEM THAT CANNOT BE WASHED OR SANITIZED.
Items left with my pet:
PRIMARY CONTACT INFORMATION
Name*
Phone*
Email*
Enter Email Confirm Email
ALTERNATE EMERGENCY CARE PERSON (SOMEONE WHO IS NOT TRAVELING WITH YOU)
Name*
Phone*
(This person has the authority to make all decisions related to my pet's medical care while boarding)
ALTERNATIVE AUTHORIZED PERSON(S) TO PICK UP MY PET
Name
Phone
Email
This field is for validation purposes and should be left unchanged.

Boarding Form

FEEDING INSTRUCTIONS

MEDICATIONS

**IMPORTANT PLEASE READ ENTIRE CONTENT

PRIMARY CONTACT INFORMATION

ALTERNATE EMERGENCY CARE PERSON (SOMEONE WHO IS NOT TRAVELING WITH YOU)

ALTERNATIVE AUTHORIZED PERSON(S) TO PICK UP MY PET

Address:

Email:

Phone:

Hours:

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