Drop-Off Consent FormDownload the form here or fill out below. Name(Required) First Last Address(Required) Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone(Required)Name(Required)Species(Required)Sex Male FemaleColorMarkingsBirth Date MM slash DD slash YYYY Is your pet current on vaccinations? Yes NoIf not, your pet’s vaccines must be updated at PetCare in order to stay with us.Drop off Date MM slash DD slash YYYY Pick up Date MM slash DD slash YYYY Items left with petFood provided? Yes NoWhat kind and how much?Is your pet on flea prevention? Yes NoWhat kind?Dog(s) on heartworm preventative? Yes NoWhat kind?Would you like your pet(s) bathed while boarding? Yes NoWould you like your pet to have extra outside playtime at $13.25 a session? (picture included, weather permitting) Yes NoIf yes, how many sessions?Are any medications necessary while boarding? Yes NoREQUIREMENTS FOR BOARDINGAll animals must be current on all vaccinations.All animals must be free of external parasites or they will be treated at owner’s expense.has my permission to do whatever is necessary should an emergency arise.If a tranquilizer is necessary for treatment or handling, has my permission to administer such medication.I have read the boarding requirements and understand the hospital’s policies.Signature(Required)Date(Required) MM slash DD slash YYYY Phone number in case of emergency(Required)CAPTCHAΔ
