Client Information

Client Name *

First

Last

Address: *

Address Line 1

Address Line 2

City

State

Zip Code

Contact Phone Number *

Email Address *

Can we text you? *

Yes
No

Emergency Contact Information

Name *

First

Last

Phone *

Pet Information

Pet's Name *

Species *

Age *

Sex *

Male
Neutered Male
Female
Spayed Female

Medical Screening Questions

Has your pet had any symptoms of sneezing, coughing, vomiting, or diarrhea in the past 14 days? *

Yes
No

Has your pet been ill in the past 30 days? *

Yes
No

Diagnosis

Does your pet require daily medications? *

Yes
No

Medications

Medicine Name

Medication Required

To establish a safe and healthy environment for all participants in its boarding program, Texas West Animal Health (TWAH) requires that all dogs have up-to-date proof of Rabies, DHLPP or DAPP, Bordetella, and a Negative Heartworm Test and be on current heartworm prevention.

In the event your pet is due for vaccine(s) or requires a booster, the vaccine(s) must be administered at admission to the boarding facility and applied to the boarding invoice. If your pet was seen at another clinic, we must receive a copy of the medical records or vaccine certificate.

If your pet has fleas or ticks at admission, a dose of NexGard or Bravecto will be given to kill all external parasites and protect other pets in the facility, at your expense.

Pets that are under the age of 12 weeks are required to have completed 2 rounds of DHPP and Bordetella. If not completed, they will have to stay at the clinic's day kennels.

I verify that the above-named dog(s) are in good health and, to my knowledge, have not shown clinical signs of any communicable disease within the last 14 days. I further certify that my pet(s) have not caused harm or shown aggressive or threatening behavior towards people.

I understand that participation in the boarding program may involve group play with other dogs. Although staff will closely supervise all participants, I understand that normal play behavior, unknown or undocumented aggression, and routine activities may result in altercations or injuries. I accept responsibility for the cost of treating any injuries my dog(s) may sustain during group play and understand that, in the absence of negligence, the facility’s owners and staff are not liable for injuries or death related to my dog(s)’ participation in group play. *

I approve my pet’s participation in group play.
I do NOT approve my pet’s participation in group play.

I understand that there is a risk of my dog contracting a communicable disease while attending this program. I assume this risk and accept responsibility for the cost of any necessary treatment. I also agree to withhold my dog from the program until they have been free of any signs of communicable disease for at least 48 hours. Although the risk of acquiring a communicable disease is small, I accept this risk and, in the absence of negligence, agree to hold this facility harmless from expenses incurred for treatment. *

I have read, understand, and agree to the above statement.

I understand and agree that, if the need arises, emergency medical care for my pet may be provided by TWAH, and I authorize necessary medical treatment and agree to pay all reasonable costs associated with such treatment. I understand that TWAH will make every attempt to contact me and/or my emergency contact as soon as the situation is stable, at which time authorization for further care will be transferred to me. If I cannot be reached, I authorize TWAH to administer appropriate care using the TWAH veterinary team. *

I have read, understand, and agree to the above statement.

I understand that daily boarding charges begin on the date my pet is left with TWAH and will be charged at the current rate. I agree to notify TWAH in advance of any changes to my pet’s scheduled pickup date. A deposit of 50% of the total boarding invoice is due upon my pet’s arrival. Unless TWAH is notified of an alternative pickup date, a certified notice of abandonment will be sent 24 hours after the scheduled release date. I understand that my pet will be considered abandoned 11 days after receipt of the notice of abandonment. *

I have read, understand, and agree to the above statement.

I understand and authorize TWAH to take photographs and videos of my pet during play or other activities. I authorize TWAH to use these photographs and videos for advertising, communications, updates, social media, print, video, and other promotional purposes. I understand that TWAH will own these photographs and videos and retain all associated copyright ownership. *

I approve photographs and videos of my pet.
I do NOT approve photographs or videos of my pet.

I understand that if I do not provide food for my pet during boarding, my pet will be fed Purina Pro Plan Veterinary Diets EN Gastroenteric dog food. I understand that a change in diet may cause gastrointestinal upset. I further understand and accept that, in the absence of negligence, the owners and staff will not be held liable for any distress caused by a change in diet. *

I have read, understand, and agree to the above statement.

I understand that this facility does not provide 24-hour care. I understand that my pet will be left unattended Monday through Friday from 5:00 PM to 7:30 AM and on Saturday and Sunday from 10:30 AM to 3:30 PM and from 5:00 PM to 7:30 AM. I also understand that the facility is not equipped with a fire protection sprinkler system. *

I have read, understand, and agree to the above statement.

I have read this consent and fully understand the above statements. Allow my signature to reflect the acknowledgement, acceptance, and liability to reflect myself and all members of my family. *

Clear Signature

Drop-off Date *

Pickup Date *

Today's Date *

Boarding Kennel Agreement

Complete Your Boarding Kennel Agreement

Client Information

Emergency Contact Information

Pet Information

Medical Screening Questions

Medications

Questions About Your Dog’s Stay?

Schedule Care for Your Pet or Livestock

Need to get in touch?

Location

Contact Information

Hours