Bay Animal Hospital Boarding Guest Check-In Form
My Pet’s Name: _________________ My First and Last Name: _________________________________________
Given how
many times
a day?
Type of Food
(Canned Wet, Dry Kibble, Home
Made Refrigerated Blend, etc.)
 I have brought my pet’s special
diet which consists of:
Amount to be
given per feeding?
(¼ cup/can, ½ cup/can, 1 cup/can)
Last Time
Pet was Fed
1x per day
2x per day
 I have brought my pet’s special
diet which consists of:
Canned Wet or Dry Kibble or Both
F/D

AM / PM
1x per day
2x per day
AM / PM
 My pet does NOT REQUIRE medications during their stay
 My pet REQUIRES medications  Number of my pet’s medications I am leaving today: _______
**All medications MUST be properly labeled. Ask for blank stickers from the front staff for any Rx without labels
*Name of Medication or
Treatment to be Given
Dosage to
be given
Given how many times
a day?
Last time pet
was given Rx?
F/D

Tech

1x 2x 3x 4x
1x 2x 3x 4x
1x 2x 3x 4x
 My pet has the following special needs that you should know about: ________________________
 Dog Aggressive  Food Allergies  Diabetes  Senior/Geriatric  Blind/Deaf  Neck/Back Issues
 While my pet is boarding at Bay Animal Hospital, I would like my pet to receive… (check all that apply)
 Doctor’s Exam $56  Microchip $60
 Rx Refill  Fecal Test for Parasites $43-$80
 Nail Trim $16-$18  Vaccines $14-$27 each  Bath
 Other: ______________________
F/D 
Tech 
 Personal items I am leaving with my pet: __________________________________
*Please note that your pet’s items may not be returned if soiled or damaged .
When do you expect to pick up your pet? Date: _________________ Approximate Time: __________ AM / PM
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Please remember we close: Monday – Thursday at 8PM Fridays at 6PM Saturdays at 4PM Sundays at Noon
Please try to arrive AT LEAST 30 minutes before we close for pick-up.
Pets not picked up by noon will incur an additional day’s boarding charge unless receiving a bath that day
Pets receiving baths on the day of pick-up will be ready after 2PM
 How can we reach you while your pet is boarding? _______________________ / ______________________
 If you are unavailable, whom else can we contact? Name: ________________ Phone: __________________
Do you authorize this person to make emergency decisions for your pet if we can not reach you? YES / NO
In the event you and your representative are unavailable in an emergency – Please initial one:
____ Do whatever is medically necessary for the health and well-being of my pet; I accept financial responsibility
____ Render only what you deem minimally necessary for the life of my pet; I accept financial responsibility
I understand the nature of boarding services provided by Bay Animal Hospital (BAH) and the costs I will incur for the services I have
requested. I further confirm all of the information contained above and grant authorizations as indicated above.
I also understand that at BAH does not accept any personal items to be kept in the boarding enclosure with the pet. This includes BEDS,
BLANKETS, TOYS, & RAWHIDE BONES. I understand the reason for this is when beds and bedding get soiled they are retrieved and go into
BAH’s wash system and may be lost or damaged. I understand that rawhide bones and pet toys present choking hazards for pets and
therefore BAH does not allow these to be left with pets unattended. Continuous presence of personnel is not routinely provided during
non-business hours. I understand BAH provides food, fresh water and freshly laundered blankets and towels when safe to do so, everyday
to their boarding guests. Cat litter is scooped twice daily and dogs are walked at least 3-4 times daily.
F/D 
Signature: _______________________________________________ Date: ___________________
Additional Medications:
Name of Medication or
Treatment to be Given
Dosage to
be given
Given how many times
a day?
Last time pet
was given Rx?
F/D

Tech

1x 2x 3x 4x
1x 2x 3x 4x
1x 2x 3x 4x
1x 2x 3x 4x
1x 2x 3x 4x
Additional Comments:
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
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