Boarding Reservations

* Denotes required fields in order to submit the form. Village Animal Clinic 9044 Alt A1A North Palm Beach, Fl. 33403 561-848-4349 *Client Name: (Name the pet's file is listed under) *Client Email: *Phone: (Please include area code) Home Work Cell Phone: (Please include area code) Home Work Cell Phone: (Please include area code) Home Work Cell Best Time To Call: -Time- 1:00 2:00 3:00 4:00 5:00 6:00 7:00 8:00 9:00 10:00 11:00 12:00 A.M. P.M. *Pet's Name: Your pet is a: -Select One- Dog Cat Reptile Bird Ferret Rabbit Pocket Pet Other If other please specify: Your pet's weight: Would you be interested in doggie daycare for your social dog while here for his/her stay? Yes No Date of pet to drop off: -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 A.M. P.M. Date of pet pick up: -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 A.M. P.M. IMPORTANT: Reservation is not made until confirmed by a Village Staff Member. Please enter a phone number (Including area code) and email address so we can contact you for confirmation. Please be sure all of the required fields are correctly entered, as this will help us to confirm your boarding reservation. Upon submitting the form you will be automatically directed to out boarding check in form, which will complete the boarding reservation request.