Boarding Form

Client Information

Owner's First Name

Owner's Last Name

Owner's Email Address

Home Phone Number

Pet Information

Pet's Name

Pet's Weight

Second Pet's Name

Second Pet's Weight

Dates of Boarding

Drop off date

Drop off time

Pick up date

Pick up time

*Note: Please note our office hours. Early drop-offs and late pick ups are not available.

Emergency Contact Information

1st Contact Name

1st Contact Phone

Additional Services

Services: Bath Nail Trim

*Note: Charges may apply for additional services.

Medications and Special Instructions

Please list special conditions, medications, dosage, frequency, etc.

I agree to treatment and any cost incurred if fleas are seen on my pet during the stay. Yes

Name of last flea medication administered.

Date of last flea medication administered.

I agree to treatment and any cost incurred if ear mites are seen on my pet during the stay. Yes No

Being away from home can be a stressful experience for some pets. I give permission for treatment and assume payment if my pet becomes ill while boarding.

All pets must be current on Rabies, (Canine and/or Feline) Distemper/Parvovirus Combinations, and Bordetella vaccinations to stay at Westchester Animal Clinic. If your pet has had previous vaccinations, please bring written proof. If proper documentation cannot be provided or your pet is due for the vaccinations they will be administered during your pet's stay.

I Agree to the terms above and understand payment is due in full at the time of pick up: Yes

Location

Find us on the map

Office Hours

Monday:

07:30 am - 06:00 pm

Tuesday:

07:30 am - 02:00 pm ~~~ 03:00 pm - 06:00 pm

Wednesday:

07:30 am - 06:00 pm

Thursday:

08:00 am - 02:00 pm

Friday:

07:30 am - 06:00 pm

Saturday:

08:00 am - 02:00 pm

Sunday:

Closed

Newsletter Signup

Testimonials

Reviews By Our Satisfied Clients

"A great place that focuses on the care of an animal. I switched from another place that charges $50.00 for a yearly checkup. Vaccines are paid for and visit is free here. That bring more people in and it serves the community as a whole. Thanks, Westchester Animal Clinic."

Tara D. - Porter, IN

Button Text