Boarding Release Form Client Name*Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Pet Name*Species/Breed*Age*Please enter a value between 0 and 30.Boarding Arrival* Boarding Departure* Would you like for your pet to receive a bath or be groomed during their stay?*NoYesDoes your pet require any medications to be administered during their stay?*NoYesPlease list the medication(s), strength, quantity administered, and frequency of administration. Please also indicate if your pet will require a refill for any medications during their stay.*Will you be supplying your own pet food or will your pet be eating our kennel food?*We'll supply our own.Kennel food is fine!Please list any items/belongings that you will be leaving with your pet.Please list any concerns or special situations regarding your pet that our team should know before their stay.How do you prefer to be contacted?*PhoneEmailPlease provide the names and phone numbers of any other individuals that are permitted to pick up your pet.May we post pictures and/or videos of your pet on our social media profiles?*YesNoBoarding Agreement - Please read below and agree to the conditions provided.I agree.I disagree.I certify that my pet(s) is current on all required vaccinations at the time of boarding and I will supply Cibolo Creek Veterinary Hospital with the appropriate documents and phone number of the veterinarian who administered these vaccinations. Required vaccinations for dogs include Rabies, DHPP, Canine Influenza, and a 6-month Bordetella. Required vaccines for cats include Rabies and FVRCP. I hereby consent and authorize you to prescribe for, treat, transport, or operate in my absence during their visit and agree to pay for any and all expenses relating to the same. I also consent Cibolo Creek Veterinary Hospital to administer flea medication if fleas are found on my pet(s) while boarding and agree to pay for any expenses incurred. You are to use all reasonable precautions against injury, escape, or destruction, but will not be held liable or responsible in any manner or any circumstances, on account of care, treatment, or safe keeping as it is thoroughly understood that I assume all risks. I understand there is always a potential risk with anesthesia and surgery. I also understand that Cibolo Creek Veterinary Hospital reserves the right to reassign pets to different runs if they become destructive, overly aggressive, or disruptive to staff and/or other pets.ABANDONMENT CLAUSE: Any pet left for 10 days longer than the scheduled boarding, treatment, or surgery date(s), without prior arrangement or contact from the owner or the owner’s authorized representative will become the property of Cibolo Creek Veterinary Hospital. In such cases, Cibolo Creek Veterinary Hospital will determine the appropriate course of action in accordance with all federal, state, and local regulations and guidelines.