Boarding Admission Form

We look forward to having your pet as our guest!  Once your reservation request has been approved, please complete the below form for each pet staying with us.

To ensure our team members have all the important information needed while we care for your pet, please answer the following questions.

*If you have filled out this form at a previous stay, you may choose to fill out only information that has changed since the last visit.

Boarding Admission Form

Did you bring your pet's own food with you?*

How often do you want us to feed your pet?*

How much do you want us to feed your pet?*

Does your pet need to be given medication while in our care?*

Let us enhance your pet's stay with VIP (Very Important Pet) Services! If you would like your pet to receive VIPs during their stay, please choose what they would like and on what day. ($9.95 per VIP)

Would you like your pet to receive spa services during their stay? One FREE spa service is included with 3 VIPs or 5 nights of boarding.

1. I understand my pet's vaccines and intestinal parasite test must be current. If it is found that my pet is not current at the time of admission, or if I am unable to provide this information, I agree to have these services provided during my pet's stay at my expense. This may alter my pet's reservation status (if overdue more than 30 days, my pet must be boarded in the Hospital Ward). Dogs: Rabies, DHPP, (+/-Lepto), Bordetella, Intestinal Parasite Test Cats: Rabies, FDRC, Intestinal Parasite Test, (Feline Leukemia advised, but not required)*

2. I understand my pet must be free of external parasites. A brief examination will be done upon admission to check for fleas and ticks. If external parasites are found on my pet, treatment will be required at my expense.*

3. I understand that some pets develop diarrhea and/or inappetance due to stress while boarding. This condition is not uncommon and usually responds to minimal medical treatment. I understand The Playground at Lodi Veterinary Care has a protocol put in place for this situation. This protocol is to begin a bland diet (Hill's Prescription Diet I/D). This diet is also the maintenance food offered to my pet if I did not provide my pet's normal diet. There will be a daily feeding fee for this service. If the condition does not improvement with a bland diet in 24 hours, the protocol advises a veterinarian examination. There is a fee for this exam and any medication(s) dispensed.*

If my pet develops diarrhea or inappetance, I consent to one of the following term:*

4. The Playground at Lodi Veterinary Care strives to keep my pet healthy and safe while here. However, even under the best conditions, animals have unforseen health problems. I understand that if my pet exhibits any signs of illness while here, outside of what is described and authorized in #3 above, the doctors and staff at Lodi Veterinary Care will make an attempt to call me.*

If I am unable to be reached, I consent to one of the following terms. In the event of a serious, life-threatening emergency, I give permission for my pet to be treated at the doctor's discretion until I can be reached.*

5. I understand that some or all of my pet's belongings may not be appropriate without supervision (stuffed toys, smaller toys, rawhides, etc.). I understand that personal items may become soiled, destroyed, or may not be able to be laundered properly, resulting in loss of these personal items. I do not hold The Playground at Lodi Veterinary Care or its employees responsible for personal belongings that are lost or destroyed. I understand that the employees reserve the right to remove any personal belongings if deemed a danger.*

6. I understand that if my pet should become soiled during their stay, a bath will be provided and charged accordingly.*

7. If I chose to have two or more of my pets in the same kennel and they need to be separated during their stay, I agree to pay for the additional kennel(s).*

DIABETIC PATIENTS. Boarding can be a stressful event for any dog or cat. For animals with diabetes, I understand that stress can affect their blood glucose regulation. With most diabetic patients needing insulin to regulate their blood sugar levels, and monitoring of their appetite, I understand my diabetic pet will be required to be boarded in the Hospital Ward. My pet will receive special monitoring and care from certified veterinary technicians while here. There is no waiver for this.

SEIZURE PATIENTS. Boarding can be a stressful event for any dog or cat. For animals with epilepsy or other seizure disorders, it is a known fact that stress can trigger a seizure. I understand The Playground at Lodi Veterinary Care team takes steps to minimize stress while boarding, but it is advised that my pet is to board in the Hospital Ward. My pet will receive special monitoring and care from certified veterinary technicians while here

PUPPIES. Puppies under the age of 16 weeks are developing their immune system and are more susceptible to illness and disease than fully-vaccinated adult pets are. Puppies require more frequent breaks to reinforce potty training, to prevent accidents in their kennels, and to release energy. Because of these factors, I understand that It is the policy of The Playground at Lodi Veterinary Care for my puppy to be in the Hospital Ward where he/she will receive special monitoring and frequent breaks by staff members. I agree to age-specific conditions described below: A. Puppies under 8 weeks of age are boarded on an emergency basis only. They are housed away from other dogs due to their immature immune system. They are to be vaccinated as soon as age allows. If unvaccinated at time of admission, vaccines will be given during the boarding stay at the owner's expense. An intestinal parasite test must be performed before or during the stay. Proof of deworming is required, or to be dewormed while here. Must be free of external parasites. B. Puppies 8 weeks to 16 weeks of age. Housed in the Hospital Ward. Must be current on vaccinations as age allows. Ideally, must have Bordetella and most recent DHPP (+/-L) vaccines 1 week prior to boarding reservation for best immune protection. If vaccines are due at time of admission, vaccines will be given during the boarding stay at the owner's expense. Must have a negative intestinal parasite test, or be recently treated for intestinal parasites. Must be free of external parasites. C. Puppies 16 weeks to 6 months of age. Adult boarding (housed in Boarding Ward) is allowed for puppies over 16 weeks of age and vaccines (DHPP, Bordetella) are current for at least (7) days prior to the boarding reservation. If vaccines are due at the time of admission, vaccines will be given during the boarding stay at the owner's expense. If your pet is current on all vaccines, but has not yet received his/her Rabies vaccine due to age, vaccine schedule, or other authorized scenario, it is advised to have your pet housed in the Hospital Ward (see B above). You may elect to schedule adult boarding (Boarding Ward) until the Rabies vaccine is administered. Your pet will not be exposed to Rabies during boarding. We highly recommend daily VIP services for your active puppy. Must have a negative intestinal parasite test, and recently treated for intestinal parasites. Must be free of external parasites.

Emergency Number*

I agree to the conditions listed above and authorize The Playground at Lodi Veterinary Care to board my pet and agree to pay for rendered services at the time of discharge. I also agree that The Playground at Lodi Veterinary Care and its employees will not be held liable for any injury or illness to my pet while boarded at this facility. Furthermore, I agree to pay for treatment of any injury or illness which necessitates treatment during my pet's stay as outlined above. I have read the above terms of this agreement and willingly consent to the terms as described.*

*Personal belongings – Personal toys and/or bedding are allowed. We provide Kuranda beds, comfortable bedding as well as food/water bowls. If personal belongings are soiled, we are happy to wash and dry these items for you before pick-up (laundering fee will apply).

**Feeding Instructions – Please provide enough of your pet’s own food for their stay – pre-bagged and labeled. If you are unable to do so, we will feed Hill’s I/D bland dry food. There will be a daily feeding charge for this service.

Special services/Requests – We offer a variety of of special services for your pet during their stay. Some of these include: VIPs, Peanut Butter Kongs, Nail Trims, and Baths. Please ask our team members for more details.

Medical Concerns – If your pet has a medical concern you would like addressed during their stay, please let a team member know. A veterinary technician will meet with you to discuss the details. We look forward to providing the best care possible for your pet during their stay.

– The Boarding Managers and Staff at The Playground

24-HOUR EMERGENCY CARE | 608.592.3232 | 705 N MAIN ST LODI, WI 53555

Pin It on Pinterest

Share This