Boarding Form Name(Required) First Last Email(Required) Animal Name Species(Required) Breed(Required) Sex Male Male/Neutered Female Female/Spayed Age Cats Per Day Cat Condo: $37.00 Dogs Per Day Puppies <4mo: $40.00 <20lbs: $35.00 20.1-30lbs: $37.00 30.1-40lbs: $38.00 40.1-80lbs: $39.00 80.1-100lbs: $40 >100lbs: $43.00 Untitled(Required) I understand all boarding rates are charged per day regardless of drop off or pick up time. I also understand a 50% non-refundable deposit may be required at time of drop off. Untitled(Required) I understand Holiday boarding is billed at 1.5 days Untitled(Required) I understand there is a Medication Admin fee: 0-5 medications $1.50 per medication and per administration, 5-7 medications $8.00/day, Insulin (including bio fee) $7.00 per injection Untitled(Required) I understand I will be charged an additional fee of $55.00 per day if my pet requires special handling due to aggressive behavior. I also understand Indian Creek Pet Hospital reserves the right to refuse admission. I also understand that Indian Creek Pet Hospital reserves the right to sedate my pet if he/she becomes extremely agitated while boarding in their facility in order to ensure the safety of both my pet and their staff. I understand this is done only under the supervision of the veterinarian and only in very severe cases. Untitled(Required) I understand all boarding patients must be current on all vaccinations, heartworm test, and intestinal parasite testing: Canine: DHPP Rabies Bordetella Influenza (H3N2/H3N8) Heartworm Test Intestinal Parasite Check Feline: FVCRP Rabies Intestinal Parasite Test Untitled(Required) I understand new patients who are up to date on the required vaccinations, heartworm and intestinal parasite tests to Indian Creek Pet Hospital and Dr. Shivers’ Cat House will be given a brief exam by the on-duty veterinarian upon arrival. The fee for this exam is $29.90. Additional pet’s that are up to date on vaccinations will be given the same exam at the reduced price of $19.90. If the boarding pet(s) require any vaccinations, heartworm and/or intestinal parasite testing, they will be required to have a full exam at the cost of $65.00 plus the cost of any treatments, vaccinations, or testing. Untitled(Required) I understand Indian Creek Pet Hospital takes responsibility of caring for my pet very seriously and therefore reserves the right to treat my pet if he/she becomes ill during his/her stay. I understand Indian Creek Pet Hospital will do its due diligence to contact me at the number provided below, however I understand in the case where I cannot be contacted, the on-duty veterinarian will treat my pet and all procedures and/or medications will be my financial responsibility. I understand Indian Creek Pet Hospital will NOT allow any illness or medical condition to go untreated. If my pet were to need treatment, that is non emergent, while staying at Indian Creek Pet Hospital I approve $_______ amount to be used toward treatments of my pet. If the given amount is exceeded staff will call to approve further treatments.(Required) (enter amount here)Untitled(Required) I understand that Indian Creek Pet Hospital uses complementary Composure Pro, a holistic calming chew, to help ease my pet’s anxiety on an as needed basis. This will provide a more pleasurable experience for your pet’s while you are away. I prefer contact regarding my pet’s stay be via(Required) Email Phone I understand pets residing in the same household may board in the same kennel/run if I prefer and pending the veterinarian’s approval. I understand this is done only at my request and there is no reduction in the boarding rate for this option. I understand Indian Creek Pet Hospital reserves the right to separate pets if they become aggressive towards each other or other behavioral issues develop which may compromise their safety, health, or comfort.(Required) Together Separate Storm Releases: In the event of SEVERE weather, every possible attempt will be made to ensure the safety and comfort of your pet. This may or may not include moving the animals to a safer location, returning the pet(s) to you or your agent, or refusing admission prior to an approaching storm. Indian Creek Pet Hospital may not be manned during a severe weather event. Staff will return to the facility as soon as the weather clears, and law enforcement agencies open the roads. Please be advised that neither Indian Creek Pet Hospital nor anyone affiliated with the hospital may be held responsible for your pet during and immediately following a severe weather event. Signature(Required)Date(Required) MM slash DD slash YYYY Phone(Required)Emergency Contact/Agent Phone(Required)CAPTCHA Δ