Boarding Consent Form

Client Name(Required)



If you are boarding more than one pet, do you want them boarded together?

If you are boarding more than one pet, do you want them walked together?

MM slash DD slash YYYY

MM slash DD slash YYYY

If Unexpected Concerns Arise:(Required)


How often does your pet eat?(Required)

Has your pet eaten today?(Required)

Falconbridge can give my pet

Please give my pet: (optional)

Other services desired at additional cost:

Please note that the following are required for boarding pets – Wellness Exam (all) Rabies Vaccine (cat/dog/ferret) Distemper-Parvo Vaccine(dog) Bordetella Vaccine (dog) H3N2 Flu Vaccine (dog) Fecal Flotation (dog) Distemper Vaccine (cat)
Please Refill My Pet's: (optional)

Bathing Services (optional)

ALL medication/supplements must be in their original containers!

There is a fee of $5.00 to $14.00 daily for administration and monitoring of medicated pets.

If your pet is on insulin and is not eating well, the doctor will run a blood glucose test ($19.50 each) as needed to ensure that the dosing is correct for your pet while boarding with us.

If your pet is taking any medications or supplements?
Name of Medication/Supplement
Amount to give:
Number of times to be given daily:
Was it given by you before drop-off?
Does it need to be given at Falconbridge after drop-off?
Do you need it refilled?
Please choose one

Personal Items: Please limit items left with your pet to food and medications/supplements. We provide bedding and bowls for all patients as appropriate for their size and condition.

Type name of authorized individual.
Falconbridge & Village Vets can use my pet’s photos on and their social media pages. (Like us on Facebook & follow us on Instagram!)(Required)

MM slash DD slash YYYY