Merrill Animal Clinic - Boarding Contract

Owner

Address

Street Address City State / Province / Region ZIP / Postal Code

Phone

Pet's Name

Species

Age

Check in date

Check out date

Best Contact Number for Owner

Emergency Contact: In the event that you cannot be reached, please list an emergency contact that can authorize charges and make medical decisions on behalf of your pet

**Please inform the receptionist if your pet has any special dietary requirements. Pets are fed Science Diet sensitive stomachs once daily unless otherwise noted.**

General Terms: Merrill Animal Clinic will exercise responsible care for the safety of your pet, and to keep the boarding premises safe and properly enclosed. Pets will be fed and watered regularly, and housed in clean, safe quarters.

The Merrill Animal Clinic cannot guarantee against accidents, and we cannot be liable for loss or damage caused by or to our pet guests at this facility. The owner agrees to be solely responsible for any and all damage caused by the owner's pet while it is at this resort. In the case of a natural disaster (ex. hurricanes, tornadoes, etc.) Merrill Animal Clinic can not and will not be liable in any way for the patients in the building; because of insurance regulations, employees are not allowed to enter the building in an emergency situation.

Payment: The Merrill Animal Clinic charges for boarding space by the night. The owner agrees to pay the rate for boarding in effect on the day the pet is checked into the facility. The full payment balance is due upon checkout.

Check-in/out Times: Check-in and check-out times are only during normal business hours. There are no Sunday check-ins or outs.

Abandonment: If the pet is not called for within 10 days after the designated checkout date, the pet will be considered abandoned and will be handled in accordance with state law.

Vaccinations: Vaccinations are for the protection of your pet, we cannot make exceptions to vaccination requirements. If proof of vaccination is not on file or provided by another veterinarian, the pet will be examined and vaccinated at the owner's expense and has a higher risk of contracting an illness during their stay. Please ask a staff member about specific vaccine requirements for your pet.

Feeding Instructions (circle 1): Please feed my pet once daily or twice daily.

Departure Baths and Additional Services: We offer an optional bathing service to be done on the morning of pick up for our canine friends for a nominal fee. **PETS CAN NOT BE PICKED UP BEFORE 1:00 PM if they are having a departure bath.

If you would like your canine to have a departure bath please initial here

Please initial for additional services for a nominal fee:

NAIL TRIM (Felines or Canines)

NAIL GRINDING (Canine only)

Medications: Medications, supplements, or other items will be administered for an additional fee as directed, but medications must be presented in their original containers with instructions for administration. There is a daily nominal fee for all medications to be administered.

Name of medication

Last dose

Name of medication

Last dose

Treatment Authorization: Pets may experience additional stress in the lodging environment. Merrill Animal The clinic is devoted to providing exceptional care for guests, including geriatric pets. Your signature acknowledges that you are aware of and accept all age-related risks to your pet. The owner agrees that Merrill Animal Clinic, at its discretion, gives first aid, medication (including flea prevention), or other attention we deem necessary for the health, and safety of your pet. Merrill Animal Clinic is authorized by the owner to provide veterinary care, including emergency care, at the owner's expense. If we believe that your pet is in need of care, time permitting we will attempt to contact you before providing that care, but this document serves as our authorization to provide veterinary care for your pet. The owner is responsible for the expenses of veterinary care, whether or not you have been reached in advance. Your signature on this authorization permits Merrill Animal Clinic to make reasonable care decisions regarding your pet, and the owner agrees to pay for all costs incurred for such treatment. In the unlikely event that a pet passes away while a guest of Merrill Animal Clinic, we will contact you and discuss your options for body care with you.

Monitoring: Staffing at Merrill Animal Clinic varies by season and day. If at any time a staff member is not present on the premises, the hospital is locked, and monitored by an off-site fire and security alarm company. For staff safety, dogs are not walked between the hours of 8 pm and 7 am.

I hereby agree to the foregoing as the owner of the aforementioned pet.

I further certify that my pet is in good health and has not been ill with any communicable condition nor to my knowledge been exposed to any communicable diseases within the last 30 days. Moreover, I certify to the accuracy of all information given about my pet and have discussed any previous signs of aggression or threatening behavior toward any person or animal. I have read and understand the entire boarding contract.

Signature