Boarding Check-In Form 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..

Village Animal Clinic 9044 Alt A1A North Palm Beach, Fl. 33403 561-848-4349 *Owner Name: (Name the pet's file is listed under) *Client Email: *Pet Name(s): Boarding drop off date: -Select One- Jan Feb March April May June July August Sept Oct Nov Dec -Day- 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31   Boarding pick up date: -Select One- Jan Feb March April May June July August Sept Oct Nov Dec -Day- 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31   (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? Yes No If you choose for your pet to have a bath please pick up after 11 a.m. to allow time to dry 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. Would you like this VIP care? Yes I would like ONE 15 minute session at $7/day per pet or $12 for multiple pets.   I would like TWO 15 minute sessions at $12/day per pet or $17 for multiple pets.   I would like THREE 15 minute sessions at $18/day per pet or $23 for multiple pets. No I DECLINE any additional VIP care for this boarding stay. 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 -Select One- Full Day Half Day Choose Day(s) Mon. Tues Wed. Thurs. Fri. No daycare for my pet this visit.    Has your pet been in our daycare before? Yes or No Are there any problems you wish the Doctor to examine while your pet is here? Yes No If yes, please detail problem: Is your pet taking any medications or supplements that we need to give while here? Yes No *There will be an additional fee per day for medicating your pet.* If yes, please detail: Pet Name: Medication(s): Frequency of dosing: Start this medication: -Day- Sunday Monday Tuesday Wednesday Thursday Friday Saturday Select AM PM -Day- Sunday Monday Tuesday Wednesday Thursday Friday Saturday Select AM PM -Day- Sunday Monday Tuesday Wednesday Thursday Friday Saturday Select AM PM -Day- Sunday Monday Tuesday Wednesday Thursday Friday Saturday Select AM PM If your pet(s) develop(s) a problem while boarding: I accept treatment? Yes No IF YOU ACCEPT TREATMENT YOU WILL BE NOTIFIED BY PHONE. IF YOU ARE NOT REACHABLE, WE WILL TREAT YOUR PET AS ADVISED BY THE DOCTOR Best Number(s) to reach you while you are away?   Feeding Instructions:   Dry: Yes No ~ How much: How often: 1x day, 2x day, free feed Canned: Yes ~ No How much: How often: 1x day, 2x day, free feed IF YOU WOULD LIKE AN ESTIMATE OF CHARGES FOR YOUR PET’S HOTEL VISIT, PLEASE CONTACT OUR OFFICE. Additional Comments or Specail Requests: