Vineland Animal Hospital
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Boarding Registration
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New Clients
» Boarding Registration
Boarding Registration
Here you can register your pets for luxury boarding. We will call you to confirm your pet's dates and information. You may enter up to 3 pets per form. If you require boarding services for more than 3 pets, please call us at 407-233-3386. Pets may only be dropped off or picked up during normal business hours. We apologize, but we are unable to make arrangements for after hours ,Wednesday or Sunday drop off or pick up
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Please allow 48 hours for our team to review your request. If you need an immediate request please call 407-233-3386. WE ARE NOT OPEN ON WEDNESDAYS OR SUNDAYS FOR DROP-OFF OR PICK-UPS
Today's Date
*
Date Format: MM slash DD slash YYYY
(You will enter boarding dates later)
Owner
*
Enter the person primarily responsible for the care of your pet
First
Last
Address
*
Street Address
Address Line 2
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Primary Phone #
*
Alternate Phone #
If you will be unreachable in case of an emergency, please enter a second contact number here. This should be the # of a family member or friend you trust with making important decisions about your pet if you are unreachable.
Email
*
Drop off Date
*
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Boarding reservation is not confirmed, until you speak to a staff member. PLEASE ALLOW 48 HOURS FOR A TEAM MEMBER TO REVIEW REQUEST.
Pick up Date
*
Month
1
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Day
1
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2020
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1943
1942
1941
1940
1939
1938
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1935
1934
1933
1932
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1930
1929
1928
1927
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Boarding is charged on a per-day basis and cannot be prorated. Clients not able to pick up their animal(s) by close-of-business on the last day of their boarding agreement will be subjected to additional boarding fees.
Pets may only be dropped off or picked up during our normal business hours. We apologize, but we are unable to make arrangements for after-hours, Wednesday or Sunday drop-offs/pickups.
Please see our website for our hours of operation, or call us at 407-233-3386 with questions.
Important Questions about your Pets
Boarding requirements for every pet in our kennel are extremely important. If you do not have proof of vaccines and preventative care, we are happy to have our veterinary team update your pet for their safety and the safety of all pets in our care.
How many pets will be staying with us?
*
Please enter a number from
1
to
3
.
Your First Pet's Name
*
First Pet Species
*
Dog
Cat
Other
Tell us about your animal
*
Please tell us the species, sex, and approximate weight of your pet. Please note, in most cases, exotic pet owners will need to provide their animal's housing, heat lamps, food, etc.....
Physical Examination
*
Required with Rabies, distemper, or Parvo
Current
Needed
Rabies
*
Required within 12 months of last day of boarding
Current
Needed
Distemper/Parvo
*
Required within 12 months of last day of boarding
Current
Needed
Bordetella
*
Required within 6 months of last day of boarding
Current
Needed
Intestinal Parasite Screening
*
Required within 6 months of last day of boarding
Current
Needed
Rhinotracheitis
*
Required within 12 months of last day of boarding
Current
Needed
Panleukopenia (Feline Distemper)
*
Required within 12 months of last day of boarding
Current
Needed
Feline Leukemia Virus (FeLV)
*
Required within 12 months of last day of boarding
Current
Needed
Is your pet on any medications?
Please tell us the medication name(s) and frequency if applicable.
Will you be bringing your pet's own food or should we use our brand?
*
I'll bring food
Use VAH's food
Your Second Pet's Name
*
Species
*
Dog
Cat
Other
Tell us about your animal
*
For boarding of animals other than dogs and cats, please tell us the species, sex, and approximate weight of your pet. Please note, in most cases, exotic pet owners will need to provide their animal's housing, heat lamps, food, etc.....
Physical Examination
*
Current
Needed
Required with Rabies, distemper, or Parvo
Rabies
*
Current
Needed
Required within 12 months of last day of boarding
Distemper/Parvo
*
Current
Needed
Required within 12 months of last day of boarding
Bordetella
*
Current
Needed
Required within 6 months of last day of boarding
Intestinal Parasite Screening
*
Current
Needed
Required within 6 months of last day of boarding
Rhinotracheitis
*
Current
Needed
Required within 12 months of last day of boarding
Panleukopenia (Feline Distemper)
*
Current
Needed
Required within 12 months of last day of boarding
Feline Leukemia Virus (FeLV)
*
Current
Needed
Required within 12 months of last day of boarding
Is your pet on any medications?
Please tell us the medication name(s) and frequency if applicable.
Will you be bringing your pet's own food or should we use our brand?
*
I'll bring food
Use VAH's food
Your Third Pet's Name
*
Species
*
Dog
Cat
Other
Tell us about your animal
*
For boarding of animals other than dogs and cats, please tell us the species, sex, and approximate weight of your pet. Please note, in most cases, exotic pet owners will need to provide their animal's housing, heat lamps, food, etc.....
Physical Examination
*
Current
Needed
Required with Rabies, distemper, or Parvo
Rabies
*
Current
Needed
Required within 12 months of last day of boarding
Distemper/Parvo
*
Current
Needed
Required within 12 months of last day of boarding
Bordetella
*
Current
Needed
Required within 6 months of last day of boarding
Intestinal Parasite Screening
*
Current
Needed
Required within 6 months of last day of boarding
Rhinotracheitis
*
Current
Needed
Required within 12 months of last day of boarding
Panleukopenia (Feline Distemper)
*
Current
Needed
Required within 12 months of last day of boarding
Feline Leukemia Virus (FeLV)
*
Current
Needed
Required within 12 months of last day of boarding
Is your pet on any medications?
Please tell us the medication name(s) and frequency if applicable.
Are there any additional services you would like for your pet during their visit?
Microchipping
Bath w/ pedicure
Pedicure only
Heartworm/Flea/Tick preventative
Services may be subject to additional fees
Will you be bringing your pet's own food or should we use our brand?
*
I'll bring food
Use VAH's food
Send us your pet's vaccination forms
If you have your pet's vaccination documents from another animal hospital, you may upload them here, or bring them with you upon checkin
Drop files here or
Consent
*
I agree
I am the owner / authorized agent for this/these animals and I am a person over 18 years. I understand that all attempts will be made to contact me in the unlikely event that a pet requires emergency care. If VAH is not able to reach me, I authorize and will pay for any emergency medical care if warranted during my pet’s stay.