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www.colliervilleanimal.com

Boarding

1. Client Information

Owner's Name
Pet's Name




New Client?

Home number:
Work number:

Street address:
City:

State:
Zip code:



2. Drop off date
Pick up date

Drop off time
Pick up time
(Note - Sunday pick up is between 4-5 p.m. with an extra fee)


3. Emergency contact number(s)

Primary Contact
Number:
Secondary Contact
Number:


4. Do you request any other services while your pet is with us?

-Bath (at an extra charge, depending on animals weight and length of hair coat) ­

- Custom Cuts Grooming (by appointment only, extra charges apply)

- Nail Trim (no charge- included in bath/grooming service)

- Anal glands expressed (no charge - included in bath/grooming service)

- Extra exercise sessions: 15 minutes of playtime (offered weekdays, excluding holidays, $9 per session)

Mon Tues Wed Thurs Fri


5. Please list any medications to be given:
Medication / Dose / Frequency­




Being away from home can be a stressful experience for some pets. I give permission for treatment and assume payment if my pet becomes ill while boarding.

Agree Pet's Weight

Please read the boarding policy. Sending this request indicates that you have read and agree to it.


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