Boarding Policies Form Client Name* First Last Pet Name*BOARDING POLICIESWe use over-the counter food for feeding kenneled pets at no additional charge. If your pet is on a special diet or a finicky eater, please bring enough food for their stay.If your animal is not picked up by end of business day, you will be charged for an additional night of boarding. (INITIALS)*-SUNDAY PICK UP are available. Prepayment for the entire invoice is required for Sunday pick up. Sunday pick up is between 5-6 pm ONLY. A phone call to the kennel attendant 1 hour PRIOR to pick up must be made for pet to be released as the building is locked and the attendant is caring for boarded animals during their shift. A $12.00 charge applies for the convenience of SUNDAY PICKUP. (INITIALS)*We will take every reasonable precaution to protect your pet and will treat injuries that may arise however; we are not responsible for injuries that occur while your pet is boarding with us. (INITIALS)*-BLANKETS/BEDS ARE NOT PERMITTED IN KENNEL. We do not allow personal bedding in the boarding area due to the possibility of ingestion leading to significant medical issues. We are able to monitor the type of bedding we provide to ensure the safety of your pet(s). If you brought bedding with you today, please take it home so we do not misplace it. (INITIALS)*-ALL PETS ARE GIVEN CAPSTAR (24hr. flea treatment) to prevent an outbreak of fleas in our kennel and to reduce the risk of your animal getting them while here. There will be a charge for the flea treatment of up to $10.00. (INITIALS)*-MEDICAL TREATMENT/EMERGENCEY HOSPITALIZATION. If your pet requires diagnostic test and/or medical treatments including overnight observation at an Emergency facility, attempts to contact you will be made. Florida state law requires us to treat your pet while they are in our custody. APPLICABLE TREATMENT FEES WILL APPLY. (INITIALS)*-EXAMS/MEDICATION POLICY An exam within the last 12 months is now required for all patient’s boarding at Brandon Lakes. This is to ensure that all patients are receiving the best quality care while in our facility. Any patients on medication while boarding 3 nights or less be subject to one CVT exam ($10) upon entry to the kennel; 4 nights or more are subject to one CVT exam at entry and one upon exit. The fee to administer medications is $7 per day. (INITIALS)*EXTENDED BOARDING- Pet’s with a reservation longer than 14 days requires a prepayment of the entire treatment plan at drop off. (INITIALS)*I ACCEPT AND UNDERSTAND THESE POLICIES: (Signature of owner)*Date* Client Name* First Last Pet Name*Boarding dates (from)* Boarding dates (to)* Food: Brand*Dry Amount:*¼ cup½ cup1 cup2 cups3 cupsWet Amount:*1 can½ can¼ canFrequency:*Once (AM or PM)Twice or Free RangeBelongings:*Additional Instructions:Would you like your pet to have a bath while boarding. There is an additional fee for this service. Bath request (dogs only): (Includes Bath, NT & ear cleaning)*YesNoNail Trim Only*YesNoResuscitation OrderPlease read the following carefully and initial next to procedures you wish to be performed in the case of an emergency. In the event of cardiac or respiratory arrest I authorize the responsible veterinarian to resuscitate my pet by performing one or more of the following procedures:YES to resuscitationYes*External Cardiac Massage (CCPR) Cost range $100-$400.Internal Cardiac Massage Cost Range $1000-$2000.NO to resuscitationI consent in the event of cardiac or respiratory arrest that NO attempts to resuscitate my pet be performed.)Post-resuscitation procedure care most likely will include overnight monitoring at a 24-hour emergency facility at additional cost to the pet ownerSignature of owner*Signature of owner First Last PhoneNameThis field is for validation purposes and should be left unchanged.