Village Animal Clinic

9044 Alternate A1A
North Palm Beach, FL 33403

(561)848-4349

villageac.com

Don't be rushed with all of the last minute details on your way out of town! fill in the below form to help speed the check-in of your pet in our boarding facilities. We'll review the information to make sure everything is in order, and we'll just need you to sign the form when you arrive to drop off your furry friend..

Boarding Check-In Form

Owner Name (required)
First Name (required)
Last Name (required)
Client E-mail (required) :
Pets Name(s) (required)

If you are boarding multiple dogs or cats, would you like them to board together?
Yes
No


Multiple Dogs
If the combined weight of dogs sharing a single run exceeds 75 pounds it will be at the discretion of the kennel staff whether or not the dogs can remain comfortably in a single run.
If they cannot share, what are your wishes?
Separate into single runs
Upgrade to a double run or deluxe suite if available


Check this box if you would like to be notified if your dogs need to be separated
Boarding drop off date :
Boarding pick up date :
(Drop off & Pick-up times are M-F 7:30 a.m.-5 p.m, Saturday 8 a.m.-11 a.m..)
**Any pick-ups after NOON are charged for an additional night's stay. **
Would you like your pet to have a bath before he/she goes home?
(If you choose for your pet to have a bath, please pick up after 11 a.m. to allow time to dry)
Yes
No


In addition to their daily walks and care we offer VIP service.
This allows for extra play time, walks, brushing, whatever they like while they are here. VIP sessions are only available Monday - Friday
Would you like this VIP care?
Yes I would like ONE 15 minute session per day. Please call the office for an estimate if you would like one..
Yes I would like TWO 15 minute sessions per day. Please call the office for an estimate if you would like one.
Yes I would like THREE 15 minute per day. Please call the office for an estimate if you would like one.
No I DECLINE any additional VIP care for this boarding stay.


Please select days for VIP care
Mon.
Tues.
Wed.
Thurs.
Fri.
We offer Daycare for our Canine Friendly guests.
This service allows for socialized dogs to play together while being supervised at all times by our Daycare staff. Doggie daycare is offered Monday thru Friday from 7:30 a.m. - 6:30 p.m.. We offer Full or Half day (4 hours) sessions and would be a great combination to your pets boarding stay. If this is your pets first time coming to OUR daycare facility, please fill out the Doggie Daycare Application in the daycare area of our website. Fill out the form and bring it in with you when you drop off your pet(s) for their boarding stay. For new arrivals an Socialization Interview is required. (the interview can be done during your pets stay).
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Would you like your pet to go to daycare while here?
Yes, Full day
Yes, Half day
No daycare for my pet this visit.


Choose Day(s)
Mon.
Tues.
Wed.
Thurs.
Fri.
Has your pet been in our daycare before?
Yes
No



We offer after hour walks to our canine patients to get an extra walk in the evening after the clinic is closed. The cost per night is $21 for one pet or $33 for multiple pets from the same household.
Would you like your pet(s) to have this service?
Yes, every night
Yes, some nights
No


Please select the days that you would like an extra walk.
Sun.
Mon.
Tues.
Wed.
Thurs.
Fri.
Sat.
Are there any problems you wish the Doctor to examine while your pet is here? Please detail below:

If your pet develops a problem while boarding would you like us to: (required)
Treat as advised by the doctor without notification
Contact to authorize treatment
Do not treat unless it's a life threatening emergency


Is your pet taking any medication or supplements that we need to give while here?
(*There will be an additional fee per day for medicating your pet.*)
Yes
No


If yes, please detail:
Pet Name, Medication(s), Frequency of dosing:

Pet Name, Medication(s), Frequency of dosing:

Pet Name, Medication(s), Frequency of dosing:

Pet Name, Medication(s), Frequency of dosing:

Best Number(s) to reach you while you are away
Phone TypePhone Number
Best Number(s) to reach you while you are away
Phone TypePhone Number
Feeding Instructions (required)
Dry food
Canned food
Dry and canned food


Please specify frequency (required)
Once daily
Twice daily
Three times daily


Please specify the amount for the serving(s) selected above (required)

IF YOU WOULD LIKE AN ESTIMATE OF CHARGES FOR YOUR PET'S HOTEL VISIT, PLEASE CONTACT OUR OFFICE.
Additional Comments or Specail Requests:

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