Owner Information

Owner First Name:

Owner Last Name:

Phone Number:

Email:

Alternate Pick-Up Person Name:

Alternate Phone Number:

Pet Information

Pet’s Name:

Breed:

Sex:

Age:

Food Allergies or Sensitivities

Known Health Conditions

Reason to See Veterinarian if any Issues or Concerns:

Feeding Instructions, Including Type, Amount, and Frequency

Vaccination/Wellness History

Are Your Pet's Vaccinations Up To Date?

Yes

No

If No, Check Which Vaccinations Are Needed:

Rabies

Distemper (DHPP)

Bordetella (Kennel Cough)

Leptospirosis

Bivalent Flue

Heartworm Test (HWT)

Fecal Screen

Flea/Tick Prevention

Last Vet Appointment for Vaccines:

Current Medications, Including frequency and dosage:

Boarding Add-Ons

Extra Play Time: $8.50 /per day (Their Preference, Toys or Snuggles) First Playtime is Free. Excludes Pickup Day:

1 Day

Every Other Day

Every Day

Number of Days (Indicate Below)

Number of Days

Nature Walk: $9.75 /per day (20-minute Walk on Wooded Trail). Excludes Pickup Day:

1 Day

Every Other Day

Every Day

Number of Days (Indicate Below)

Number of Days

Medication Administration: $3.75 /per day As Needed, Charged per Day Not by Dose.

Yes

No

Grooming/Bathing Services

Full-Service Groom

Tidy Trim

Works Bath

Clean Up Bath

Please Fill Out Our Grooming Form.

Policy

For the safety of your pet and the other pets on the premises, we require all animals to be up to date on vaccinations, fecal, and flea prevention. If our records show that your pet is due for any of the above requirements, in signing below, you agree to either A) have JCVC proceed with updating all requirements or B) you will provide us with proof within 2 hours of dropping off at JCVC.

I agree that the information stated above is accurate. The dates for arrival and departure are correct. I am aware of the hours of operation for JCVC, Monday-Friday, 8 am-6 pm. No pets will be discharged after 2:00 PM on Saturdays, and we are closed on Sundays. JCVC is not responsible for any property that is left with boarding pets. I understand that if a clean-up bath is needed before departure, it will be at my own expense. I understand there are additional charges for extras and medication administration.

I Agree

Date

Spam Blocker

Boarding Form

Option 1

Complete Online

Option 2

Print & Complete

Option 3

Complete on Arrival

Owner Information

Pet Information

Vaccination/Wellness History

Boarding Add-Ons

Policy

Caring for Pets in Johns Creek