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Boarding Form

"*" indicates required fields

Pet's Name*

Pick Up Hours:

Monday – Friday: 11 AM – 6 PM

Sunday – No Pick-up

Pick up Date*

Pick up Time*

Hours

Minutes

AM/PM

Emergency Phone Number*

Second Emergency Phone Number

Did you bring your own food?*

Yes

Sensitive Skin and Stomach Food is provided

Feeding instructions if own food*

Brand name and/or kind of container brought and amount*

Treats Brought (how many per day)*

Are there any medications to administer during your pet's stay?*

Yes

There is an additional charge for this

If yes, please specify*

Include dosage and timing

Please list/describe all belongings staying with your pet (including leash and collar)*

Kuranda Beds, blankets and stainless-steel bowls are provided. **CHATEAU ANIMAL
HOSPITAL IS NOT RESPONSIBLE FOR BELONGINGS LEFT IN THE CLINIC DURING
YOUR STAY.**

**CHATEAU ANIMAL HOSPITAL IS NOT RESPONSIBLE FOR BELONGINGS YOU LEAVE IN THE CLINIC DURING YOUR STAY. **

We require that all pets be up to date on all vaccines, including influenza vaccine while boarding here. If your pets get vaccines elsewhere, please let the receptionist know so we can call and get vaccine history and update our records.

Are there any treatments your pet will need while boarding with us?*

I decline an exam at this time

Check-up/exam + concerns

Vaccines

Check-up / Exam Concerns*

List all services you wish to pamper your pet with during his/her stay, please choose at least one option*

Spa (bath, brush teeth, clean ears, trim nails, express anal glands, perfume spray)

Bath (it is suggested that all boarders staying 3 or more days should be bathed)

Decline Bath

Nail Trim

Groom – Prior appointment required

Do you give Chateau Animal Hospital permission to allow your pet(s) to be off leash in our fenced playground? Chateau Animal will do everything we can to assure the safety of your pet(s), but does not assume liability if pet(s) try to jump the fence. This option may not be available for all pets. Pets are walked 3 times daily.*

Yes

Flea and Tick prevention is the responsibility of the client! Would you like your pet treated with Canine Credelio or Feline Revolution*

Yes

If your pet is in need of medical treatment, how should we contact you?*

Emergency Number

Proceed with treatment without contact

Emergency Phone Number*

Email*

Proceed without contact – please initial*

Chateau Animal Hospital reserves the right to move any pet to a different area than previously arranged while staying in the clinic for health and safety purposes.

Owner's Signature*

Date*

MM slash DD slash YYYY

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Phone

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Route 211, 2635 Old Winder Hwy,
Braselton, GA 30517

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PetDesk

Route 211, 2635 Old Winder Hwy,
Braselton, GA 30517

Home
Our Hospital
Services
New Clients
Online Pharmacy
Contact Us

Business Hours

Monday

9:00am - 6:00pm

Tuesday

9:00am - 6:00pm

Wednesday

9:00am - 6:00pm

Thursday

9:00am - 6:00pm

Friday

9:00am - 6:00pm

Saturday

9:00am - 6:00pm

Sunday

Closed