Canine Boarding Consent Form

Boarding prices charged per night: $33.00; half day price is $15.00; medical boarding is $36.00.

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Owner Name

First

Last

Email

Beginning January 1st, 2024, we will have a new behavior policy. For the safety of your pet and our staff, we will no longer be providing boarding services to animal and/or human aggressive canines. If you have concerns, please ask a team member for more information.

For the protection and comfort of all our boarding pets, should your pet have intestinal parasites, fleas, or ticks, they will be treated at your expense.

Does your pet require any services during his/her stay with us?

Yes
No

If your pet requires medical attention while you are gone what would you like us to do?

Yes, treat my pet.
Call first if non emergency charges might exceed $150.00.
Do not administer any medical treatment until authorized, even if emergency medical treatment/resuscitation is required. I realize that withholding necessary medical treatment may negatively impact my pet’s health/lead to death.

Contact Person

Phone Number

Alternate emergency contact Name

Phone Number

I understand that I will be responsible for any charges incurred while my pet is in the care of Lincoln County Animal Hospital. I hereby agree to board my pet under these terms as the owner.

I agree

Signature

Clear Signature

Date

After-hours pick-up times are Saturday and Sunday from 4:00 pm to 4:30 pm. Payment will be required at the time of check-in.

Phone

Fax

Email

Canine Boarding
Consent Form