Boarding Release Owner's Name on Account* Vaccine History* By checking the box, I understand my pet must be current on vaccines listed and free of external parasites.Requirements for boarding: 1. All animals must be current on all vaccinations (Rabies, DA2PP/L4, Bordetella). 2. All animals must be free of external parasites (ex. ticks, fleas, etc.), or they will be treated at owner's expense.Are you boarding just one pet?*YesNoPet's Name* All Pet's Names, please separate with a comma.*Can your pets kennel together?* Date of Pick Up* MM slash DD slash YYYY How many times a day do you feed?* How much do you feed?* Do you leave food out?*YesNoWould you like your pet(s) bathed? There is an additional charge.*Yes and I accept the additional charges that will range: $21 - $30 per petNoIs your pet on medication?*YesNoWhat meds does your pet need? Please include instructions as well.*Please list all items you are leaving with your pet. Note: we have beds, blankets, toys, food/water dishes available for use at the clinic, you may bring theirs if you chose. Please note, any items have the potential to be lost or damaged, and Caldwell Veterinary Clinic is not to be held responsible for these items*Emergency Contact Name:* Emergency Contact Number:Boarding Policy Consent* I agree to the boarding policy.In case my pet requires emergency medical treatment, I understand the Caldwell Veterinary Clinic, PLLC will attempt to contact the appropriate person immediately. I further acknowledge that in the event of a medical emergency, the staff at Caldwell Veterinary Clinic, PLLC may not be able to contact the appropriate person immediately and therefore authorized to initiate treatment until the person can be reached.