Each reservation that we have for your pet you will be asked to help us by filling out the following form and click "Submit" at least 24 hours prior to your scheduled check-in. This will help make the experience quicker and easier for you and prevent you from filling out paperwork at drop-off.

We ask that you call upon arrival for Curbside Check In and Check Out for Boarding. Our office is open, but to improve traffic we are continuing to process boarders at your vehicle.

Reservation Details

Client Name *

First

Last

Pet Name *

Check In Date *

Check Out Date *

Emergency Contact Name

First

Last

Emergency Contact Phone Number *

Would you like us to send a complimentary text during the visit with an update?

Yes
No

Phone Number for Update (If elected above) *

Names of others who are allowed to pick up my pet

First

Last

Photo ID will be required

My pet is: *

Choose one

Select all that apply *

If other indicated from above, please specify

I would like the following services provided while my pet boards (prices subject to change without prior notice)

Bath $25.76 - $44.29 depending on coat
Nails Trimmed $16.84
Spa- Bath, nails, ear cleaning and anal glands expressed $86.53
Anal Glands Expressed $23.18
Kong Treat - cheese or peanut butter filled treat to pass the time $3 each time
Extra Playtime- 15 minutes of time with a kennel attendant $20 each time
Snack and Play - Kong with Playtime $21 each time

Number of Kong Treats (if elected)

Number of Playtime (if elected)

Number of Snack and Play (if elected)

We suggest you bring your own food from home to help prevent upset stomach from changes in diet, but we provide Hill's Science Diet Sensitive Stomach if you do not bring any from home.

What brand of food does your pet eat?

How many cups does your pet eat?

How often is your pet fed

Once Daily
Twice Daily
Other

If other, please specify how often

Medications

We are happy to give your pet their medications while they stay with us. Please make sure they are labeled with your pet's name, the type of medication it is, what it was prescribed for, and how often they are given if they are not in the original container.

Please enter the medication you would like your pet to receive while boarding

Include when it will next need to be given

I understand there is a daily charge to administer medications while boarding *

Initial

Please select the flea/tick medication your pet is currently taking

If other, please specify

Date flea/tick control last administered

I understand that if fleas, ticks or flea dirt are seen my pet will immediately be treated and I will be charged. This is to keep all pets safe while boarding. *

Initial

Playtime

All pets are allowed outside by themselves in a fenced area for playtime at least twice daily.

Belongings

**Bedding or toys may be brought as long as they can be washed if they become soiled** We provide blankets for all boarding pets unless you indicate your pet chews/eats bedding.

I understand that the Brooklyn Road Vet Clinic is not responsible for items damaged that have been left with my pet *

Items brought with the pet

If you have additional pets - enter any specific information that is different

(Pet name; sharing or own run; different feeding; different meds; different treatments needed)

Brooklyn Road Vet Clinic has my permission to take photographs and use them in print or digital media *

Yes, I agree
No

CHOOSE ONE In case of emergency: *

I authorize the Brooklyn Road Veterinary Clinic to perform emergency life saving measures to stabilize my pet and then contact me or my emergency contact.
I DO NOT authorize the Brooklyn Road Veterinary Clinic to perform emergency life saving measures or any other treatments until I have been contacted and spoken to(or my emergency contact)

I understand any charges incurred during life saving measures are my responsibility and agree to pay in spite of the outcome of the emergency. I understand that the Brooklyn Rd Vet Clinic is not responsible for any problems if I can not be reached. *

Initial

I understand that payment is due in full at the time of pickup, including any charges approved over the phone or by my proxy. I have been offered a written estimate of the minimum charge and understand that billing is like a hotel, where the charges for the next day begin at noon each day after the first nights stay. *

Initial

Pick up times are 10am-12pm Mon-Sat and 5:30-6pm on Sunday. If I have not picked up my pet for 10 days beyond the scheduled date without notification and payment, it will be considered abandoned and the Brooklyn Road Veterinary Clinic is allowed to take any action deemed appropriate. *

Initial

Boarding Check-in Form