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Boarding Consent Form

Waiver & Consent

Please read the following terms carefully before submitting this form.

  1. I confirm that I own the pet above and will not hold Willow Grove Animal Clinic, PLLC responsible for the conditions that are sometimes unavoidable in boarding kennels such as but not limited to, hair loss, upper respiratory infections, bronchitis, diarrhea, weight loss and fleas. Willow Grove uses all precautions against injury, escape or death of your pet. I will not hold Willow Grove liable for any problems that may develop provided reasonable care and precautions are followed.
  2. I assure Willow Grove Animal Clinic, PLLC that this pet is currently in good health condition.
  3. I understand that drop off and pick up will only be during regular business hours.
  4. I confirm that my pet has a complete and updated vaccination. If they are not up to date on vaccines, Willow Grove will update these vaccines at owner’s expense.
  5. I confirm that my pet doesn’t have any fleas, ticks or communicable disease. If Willow Grove staff find fleas or ticks, we will apply prevention at owner’s expense.
  6. I will not hold Willow Grove liable for loss or damage of personal items left with my pet including, but not limited to, leashes, collars, toys, food, bowls, bedding and carriers.
  7. In the event your pet needs medical attention (this may include, but is not limited to, symptoms such as inappetence for more than one day, vomiting, and/or diarrhea) while staying with us, our veterinarians will perform the necessary treatment to protect the health and comfort of your pet. We will call the phone number provided to inform you and discuss further treatment options as soon as your pet is in stable condition. If you are unreachable, a decision will be made on appropriate treatment at the discretion of our veterinarians. Any cost involved in these procedures are your responsibility at time of check-out.
  8. If your pet soils itself while boarding and needs a bath due to medical reasons it will be done at owner’s expense.
  9. You must provide a minimum of one adult (over the age of 18) as your representative who has permission to transport your pet in case of needed emergency care to Pet Emergency Clinic (Greenville, NC) or Points East Emergency Clinic (Wilson, NC) should the need arise while boarding.