Village Animal Clinic

9044 Alternate A1A
North Palm Beach, FL 33403

(561)848-4349

www.villageac.com

Don't be rushed with all of the last minute details on your way out of town! fill in the below form to help speed the check-in of your pet in our boarding facilities. We'll review the information to make sure everything is in order, and we'll just need you to sign the form when you arrive to drop off your furry friend..

Boarding Check-In Form

Owner Name (required)
First Name (required)
Last Name (required)
Client E-mail (required) :
Pets Name(s) (required)

If you are boarding multiple dogs or cats, would you like them to board together?
Yes
No


Boarding drop off date :
Boarding pick up date :
(Drop off & Pick-up times are M-F 7:30 a.m.-5 p.m, Saturday 8 a.m.-11 a.m..)
**Any pick up's after NOON are charged for an additional nights stay. **
Would you like your pet to have a bath before he/she goes home?
(If you choose for your pet to have a bath, please pick up after 11 a.m. to allow time to dry)
Yes
No


In addition to their daily walks and care we offer VIP service.
This allows for extra play time, walks, brushing, whatever they like while they are here. VIP sessions are only available Monday - Friday
Would you like this VIP care?
Yes I would like ONE 15 minute session at $11.30/day per pet or $17.90 for multiple pets.
Yes I would like TWO 15 minute sessions at $16.80/day per pet or $24.40 for multiple pets.
Yes I would like THREE 15 minute sessions at $24.40/day per pet or $33.00 for multiple pets.
No I DECLINE any additional VIP care for this boarding stay.


Please select days for VIP care
Mon.
Tues.
Wed.
Thurs.
Fri.
We offer Daycare for our Canine Friendly guests.
This service allows for socialized dogs to play together while being supervised at all times by our Daycare staff. Doggie daycare is offered Monday thru Friday from 7:30 a.m. - 6:30 p.m.. We offer Full or Half day (4 hours) sessions and would be a great combination to your pets boarding stay. If this is your pets first time coming to OUR daycare facility, please fill out the Doggie Daycare Application in the daycare area of our website. Fill out the form and bring it in with you when you drop off your pet(s) for their boarding stay. For new arrivals an Socialization Interview is required. (the interview can be done during your pets stay).
Would you like your pet to go to daycare while here?
Yes, Full day
Yes, Half day
No daycare for my pet this visit.


Choose Day(s)
Mon.
Tues.
Wed.
Thurs.
Fri.
Has your pet been in our daycare before?
Yes
No


We offer after hour walks to our canine patients to get an extra walk in the evening.
Would you like your pet(s) to have this service?
Yes
No


Are there any problems you wish the Doctor to examine while your pet is here?
Yes
No


Is yes, please detail problem:

Is your pet taking any medication or supplements that we need to give while here?
(*There will be an additional fee per day for medicating your pet.*)
Yes
No


If yes, please detail:
Pet Name, Medication(s), Frequency of dosing:

Pet Name, Medication(s), Frequency of dosing:

Pet Name, Medication(s), Frequency of dosing:

Pet Name, Medication(s), Frequency of dosing:

If your pet(s) develops a problem while boarding you will be notified by phone.
If you are not reachable, we will treat as advised by the Doctor.
Best Number(s) to reach you while you are away
Phone TypePhone Number
Best Number(s) to reach you while you are away
Phone TypePhone Number
Feeding Instructions (required)
Dry 1x day
Dry 2x day
Dry free feed
Canned 1x day
Canned 2x day
Canned free feed
No


Please specify the amount for the serving(s) selected above (required)

IF YOU WOULD LIKE AN ESTIMATE OF CHARGES FOR YOUR PET'S HOTEL VISIT, PLEASE CONTACT OUR OFFICE.
Additional Comments or Specail Requests:


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