Boarding Form

Pets Name
Owners name
Has your pet stayed with us before?
Tick which vaccine your pet might need
Tick which vaccine your pet might need
Diet Type / Medications

CPVS Feeds Hill’s Science Diet Adult Sensitive Stomach kibble in canine or feline formulas.

I have brought my pet(s) own food
1st Pet name
Feeding details pet 1
2nd Pets name
Feeding details pet 2
Does your pet require medication?

This will be charged at an additional rate of $3.50 - $24.50 per treatement

Pet Pickup
Is someone other than you allowed to pick up your pet?

If yes, what is their name?

Would you like a toe nail trim to be done while boarding?
Current Health
Pet #1 Current Health conditions
Check any that apply
Pet #2 Current Health conditions
Check any that apply

I hereby grant permission to CASTLE PEAK VETERINARY SERVICE (CPVS) to act on my behalf, and in my pet's best interest, by providing veterinary care at my expense, if deemed necessary for illness or injury. Should my pet pass away while boarding, I understand that CPVS will get my consent for its mean of disposition unless I do not respond within 10 days. I am aware that to board here, I must show proof that my dog(s) are currently on the Distemper/Parvo combination and Rabies vaccines and have had a Bordetella vaccine within the past six months. I must show proof that my cat(s) are currently on the Feline Distemper/Leukemia combination and Rabies vaccine. If proof of vaccination cannot be shown or obtained from my previous veterinarian's office at the time of admission, I authorize CPVS to administer these vaccinations to my pet(s). I further agree to pay for these, and all other veterinary services provided for my pet(s) during its stay at CPVS.

This boarding facility agrees to exercise all due and reasonable care to prevent injury or illness to my pet. I also understand no one will be monitoring the animals during the nighttime hours. However, in the event of illness or injury, the owners and employees of CPVS shall not be held personally responsible for such injury or illness.

I agree to pay all costs for any property damage or personal injury caused by my pet during its stay. I AGREE TO PAY ALL ANTICIPATED CHARGES AT TIME OF DROP OFF and I understand that CPVS reserves the right to hold my pet until said charges are paid. The fate of any animal left behind for 10 days beyond the agreed-upon date of pick-up (without written notification or phone call) is left to the discretion of CPVS.

Terms and Conditions Above
I certify that I am the owner/guardian of this animal.
I give Castle Peak Veterinary personnel permission to administer any prescription/non-prescription supplements.
Sign above

Castle Peak Veterinary Services cannot be held responsible for any personal articles (Blankets, Beds, Leashes, or toys) that are left for your pet. Please put your pet's name on any item that you do leave with your pet.