BOARDING REGISTRATION FORM
* All pets must be up to date with all vaccinations including Bordetella. Proof of vaccination must be made available to us upon arrival. Otherwise we will update your pet during his/her stay at cost of owner.
Drop-Off Date Requested: 
Pick-Up Date Requested: 
Holiday/ Weekend pickup ($10)pick up times available at 9 am and 6 pm on Sat and Sunday. Must schedule ahead of time!
yes
Owner's Name:
Owner's Phone Number
Owner's Address:
Street 1:

Street 2:

City:
State:
Zip:
Pet's Name:
Emergency Contact Name:
Emergency Contact Phone Number:
List your pet's belongings:
The hospital shall not be responsible for the loss, theft or destruction of any personal property left with the above pet.
How many times should we feed your pet per day?
Feed my pet in the:
Am
PM
Both
Tell us how much we should feed your pet:
Will you feed your pet prior to arrival for boarding?
Is your pet currently on any medication? If yes please list.
Please list any special instructions (include detailed medication directions and anything that you wish the doctor to check for)
Are we to give your pet medication during his/ her stay? ($2.20 every time we medicate)
Would you like your pet bathed? ($22- $32.00 includes Nail trim, ear cleaning and conditioning treatment)
Yes
No
Would you like his/her anal glands expressed? ($18)
yes
no
Additional play time ($7 daily)
yes
no
Would you like a CET reward bone/Chew to be given to your pet daily? ($1 -$3.25 per day)
yes
no
Nail trim ($12.50-$18.00)
yes
no
By Clicking The "Submit" Button, I Certify That I Am In Agreement With All Terms & Conditions For Boarding My Pet And I Fully Intend To Pick Up My Pet On The Above Date Specified. If Circumstances Change, I Will Notify The Practice Of The New Pick-Up Date.


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Hours of Operation

Monday-Friday
7:30AM – 6:00PM
Surgical Drop Off  Mon-Fri
8:00AM – 9:00 AM
Saturday
Now Open Sat 8AM-12PM
Sunday
Closed

Tel:    336-923-2278
Fax:   336-923-2289 
Pfafftownanimalhospital@gmail.com



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4693 Yadkinville Road
  Pfafftown NC 27040

For after hours emergency care please call

Animal Emergency Services
of Forsyth County 336-377-2866
             or
Carolina Vet Spec: 896-0902
                

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