BOARDING

DRY CAN FRIDGE FROZEN RAW OURS

DRY CAN FRIDGE FROZEN RAW OURS

DRY CAN FRIDGE FROZEN RAW OURS BOARD TOGETHER ? SEPARATE TO FEED?

BOARD TOGETHER ? SEPARATE TO FEED?

VET CLINIC: IF YOU ARE A CLIENT OF BANFIELD OR VCA FEIST, PLEASE CALL THEM AND TELL

THEM IT'S OK FOR GREAT RIVER PET CENTER TO ACCESS SHOT RECORDS

AMOUNT TO FEED MORN: 7:00am NOON: 12:00pm EVEN: 5:00pm INSTRUCTIONS:

SEX: NEUTERED / SPAYED:

YES NO

COLOR: DOB

FOOD TYPE:

AMOUNT TO FEED MORN: 7:00am NOON: 12:00pm EVEN: 5:00pm INSTRUCTIONS:

AMOUNT TO FEED MORN: 7:00am NOON: 12:00pm EVEN: 5:00pm INSTRUCTIONS:

3rd PET'S NAME: BREED: WT

FOOD TYPE:

AMOUNT TO FEED MORN: 7:00am NOON: 12:00pm EVEN: 5:00pm INSTRUCTIONS:

SPECIAL INSTRUCTIONS:

2nd PET'S NAME: BREED: WT

SEX: NEUTERED / SPAYED:

YES NO

COLOR: DOB

NOON: 12:00pm

EVEN: 5:00pm

EVEN: 5:00pm

WTBREED:1st PET'S NAME:

SEX:

FOOD TYPE:

SPECIAL INSTRUCTIONS:

PHONE2:PHONE1:

ADDRESS: CITY-ZIP:

APPROVED FOR DAYCARE? EVAL DATE

EMERGENCY CONTACT PHONE

DOB

CHECK OUT DATE / TIME: SERVICES:

EMERGENCY CONTACT PHONE

COLOR:

AMOUNT TO FEED

NEUTERED / SPAYED:

YES NO

MORN: 7:00am

MORN: 7:00am

NOON: 12:00pm

PET PARENT(s):

AMOUNT TO FEED

Great River Pet Center 2451 Hadley Ave. N.

Oakdale, MN 55128

651-777-1051

E-MAIL:

CHECK IN DATE / TIME:

1.) Would you like to be notified in the case of an emergency or death of your pet or would you rather us call

your emergency contact? You________ Contact________

2.) If were unable to reach you or your contact(s), what is the $ amount to spend if we have to rush your pet to the

Emergency clinic? DNR

DNR

DNR

3.) Is your pet allergic to anything?

NO

NO

NO

4.) Is there any sort of medical condition your pet has that we should know about?

NO

NO

NO

5.) Is your pet on any medications or supplements?

NO YES

NO YES

NO YES

6.) Are there any sort of behavioral issues that we need to know about?

NO

NO

NO

Medication: Dose: Times:

EMERGENCY INFORMATION FORM

YES EXPLAIN

YES EXPLAIN

YES EXPLAIN

YES EXPLAIN

YES EXPLAIN

YES EXPLAIN

YES EXPLAIN

YES EXPLAIN

YES EXPLAIN

Pets Name:

ANY

AMOUNTUP TO $

UP TO $ANY

AMOUNTANY

AMOUNTUP TO $