Boarding Sign-Up Form

Pet Name Last Name Weight

Date of last vaccinations Date of last Frontline Plus treatment

Due for

Drop-off Date Pick-up Date  

Emergency Phone # Is anyone else authorized to pick your pet up?

Feeding Instructions:

Medication Dosage Frequency Next dose

Please let us know if your pet requires any special instructions, (or if you are planning on leaving any belongings with your pet):

If you are boarding multiple pets in the same run: I would like to board my pets in the same kennel/run during their boarding stay. I understand that Prescott Animal Hospital does NOT recommend such arrangements due to the potential for harm to my pet, for example: broken legs, torn nails and bite wounds.
I understand the potential for harm and agree to take full financial responsibility, as well as authorize for the treatment deemed necessary by the attending doctor if such a circumstance should arise. If you would like your pet to wear a harness during boarding: I would like my pet to wear his/her harness on during the boarding stay. I understand that PAH does NOT recommend such arrangements due to the potential for harm to my pet from strangulation or wounds.
I understand the potential for harm and agree to take full financial responsibility, as well as authorize for the treatment deemed necessary, by the attending doctor if such a circumstance should arise. I have read and agree to the terms of Prescott Animal Hospital’s Boarding Policy. I authorize PAH to perform diagnostic, therapeutic and surgical procedures deemed necessary for the maintenance and well-being of my pet. I understand that I assume financial responsibility for all services rendered. I understand there is no 24-hour attendant on duty.

Thank you for your submission! We'll see you on the day of your arrival!
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Companion Animals: 1318 Iron Springs Road Prescott, AZ 86305 • 928-445-2190 Fax: 928-445-1491

Equine Center: 2611 Avenger Road Prescott, AZ 86301 • 928-776-PONY (7669) Fax: 928-442-2497