Boarding Check-In Form Client Name*Pets Name*Are the requirements listed below current?* Yes NoDogs: Rabies vaccine, Distemper / Parvo vaccine, annual Bordatella vaccine, Canine Influenza vaccine, annual stool check, and annual Heartworm test Cats: Rabies vaccine, FRCP vaccine, Leukemia vaccine or FELV test and annual stool checkWhat flea prevention do you use?*Last given?*Please note: Your pet will be checked for fleas upon arrival, if fleas are noted, your pet will be treated at your expense*I give my permission for my pet to have peanut butter filled kongs and other “busy” toys provided by Paw Pur’s Place during their stay. Yes NoIs your pet healthy today?* Yes NoDoes your pet have any of the following symptoms? Coughing Sneezing Vomiting Diarrhea Changes in appetite or water consumption Seizures Red Skin Flaky Skin Dry Skin Scabs Ears: Red Ears: Discharge Ears: OdorOther - please listDo you wish for your pet to be seen by the Veterinarian while here?(If yes, the Urgent Care sheet found on the website needs to be filled out by client) Yes NoDoes your pet show cage aggression? Yes NoDoes your pet have aggressive tendencies toward other dogs and/or people? Yes NoIf yes, please explainHas your pet bitten anyone? Yes NoIf yes, please explainShould injury or circumstance warrant the need for emergency service, I understand that the clinic will try to contact the necessary people before treatment, but will exercise the option to proceed if no one is available for approval.Emergency Contact Name*Phone #*Regular Veterinarian Contact InfoSignature*As the owner or authorized guardian of this animal, I give permission to MCAH to receive, treat, prescribe or otherwise care for the animal above as deemed necessary.Enter the code below