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Boarding Reservation Request Form
Thank you for choosing our Boarding Facilities!
Our facilities will allow your pet to be as comfortable as possible while you are away. Please feel free to contact us for a tour of our facilities at any time. Please do not assume your boarding arrangements are confirmed until we have contacted you to confirm the requested dates.
IMPORTANT: Boarding dates and arrangements are not confirmed until you have received notification. A staff member will contact you by phone or email.
Name
*
First
Last
Email
*
Phone
*
Which pet(s) would you like to board?
*
Dog(s)
Cat(s)
Both
How many pets would you like to board?
*
Pet(s) Name(s)
*
Have you used our boarding services before?
*
Yes
No
Drop off Date
*
MM
DD
YYYY
Drop off Time
*
:
HH
MM
AM
PM
Pick-up Date
*
MM
DD
YYYY
Pick-up Time
*
:
HH
MM
AM
PM
I, the undersigned, do hereby consent and agree that Rocklin Road Animal Hospital, its employees, or agents have the right to take photo, videotape, or digital recordings of my above-listed pet(s) and release all rights to exhibit this work in print and electronic form publicly or privately. I also understand that Rocklin Road Animal Hospital is not responsible for any expense or liability incurred as a result of my, or my pet(s) participation in any photos and/or recordings.
*
Accept
Decline
Signature of Owner/Agent
I hereby authorize the staff at Rocklin Road Animal Hospital to examine, prescribe for and treat the above-described pet(s). I assume responsibility for all charges incurred in the care of this/these animal(s). I also understand that all charges will be paid at the time of release of my pet and that a deposit may be required before treatment.
First
Last
Date
Date Format: MM slash DD slash YYYY
New Clients
What to Expect
New Client Information Form
Make an Appointment
About Us
Location & Hours
Team
Community Work
Rx and Food Form
Services
Surgical Services
Diagnostics
Dermatology
Cardiology
Orthopedics
Opthalmology
Oncology
Pet Dental Care
Dental Wellness Package
Pet Teeth Cleaning Under Anesthesia – Pros and Cons
End of Life Care
Boarding
Boarding Reservation Request Form
Boarding Release Form
Grooming
House Calls
Pet Health
Pet Health Library
How-To Videos
Pet Health Checker
News
Pet Resources
Spay or Neuter
Puppy & Kitten Care
Payment Options
Petly Health Records
Pet Insurance
Emergencies
Pharmacy