Boarding Consent Form – Multipet – Seville Veterinary Hospital

Name*

First Last

Email*

Phone*

Pet Name*

Species*

Breed*

Pet Name*

Species*

Breed*

Pet Name*

Species*

Breed*

Pet Name*

Species*

Breed*

Has your pet stayed with us before?*

Yes
No

Are your pet allowed bedding in his or her kennel?(If not all, specify which aren't by name)

Are your pet's good with other animals? Please explain if not

Please fill out any Comments or Special Instructions below: (feeding, medications, housing, exercise, request for veterinary services while boarding, commands if necessary while going potty etc)

Please note, to dispense any medication while pet is being boarded a $2.00 fee / per day will be applied

Drop off Date*

Drop off Time*

: HH

MM

Pick-up Date*

Pick-up Time

: HH

MM

Emergency Contact #1*

First Last

Phone*

Emergency Contact #2

First Last

Name

First Last

Emergency Contact #3

First Last

Phone

Important

THANK YOU FOR CHOOSING TO BOARD YOUR PET AT SEVILLE VETERINARY HOSPITAL! FOR YOUR PETS SAFETY, WE REQUIRE THAT ALL BOARDING PATIENTS BE CURRENT FOR THEIR ANNUAL EXAM, VACCINES, AND FLEA&TICK PREVENTION.

CANINES: RABIES, DHPP, BORDETELLA, LEPTOSPIROSIS AND INFLUENZA.

FELINES: RABIES, FVRCP, FELV/FIV AND BORDETELLA.

Monday	7:30 am – 6:00 pm
Tuesday	7:30 am – 7:00 pm
Wednesday	7:30 am – 6:00 pm
Thursday	7:30 am – 7:00 pm
Friday	7:30 am – 6:00 pm
Saturday	8:00 am – 2:00 pm
Sunday	Closed

Boarding Form - Multipet

Important

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Hours of Operation