Elmbrook Veterinary Clinic Boarding Waiver and Consent Form

I represent that I am the legal owner or authorized by the legal owner of the pet(s) described on the application.

This is I represent that my pet(s) is in good health, is up to date on annual exam and is current on all required vaccinations (Dogs must have Canine Distemper, Rabies and Bordetella vaccines; Cats must have FVRCP and Rabies vaccines).  My pet(s) is free of fleas, ticks and lice and has not been ill within the last 30 days.a checkbox.*

I represent that my pet(s) are appropriately socialized with both people and other pets and have not harmed or shown threatening behaviors towards any person or other pet.  Should my pet shown any signs of aggression to our staff or doctors, EVC Boarding reserves the right to remove the pet immediately by way of myself, my emergency contact(s) or animal control, thus terminating any further boarding reservation.*

 I understand that while my pet(s) is fully vaccinated, that vaccines are not guaranteed and there is a small risk that my pet may contact a contagious disease or illness.  I agree that should this occur, I am responsible for my own pet’s care, medical attention and costs.*

I understand all precautions will be taken to prevent injury, escape or other life-threatening emergencies.  EVC Boarding will not be held accountable for problems that develop, provided that reasonable care and precautionary measures have been taken.*

I release EVC Boarding, its staff, owners and any representatives from any and all liability which I or my pet(s) may suffer including but not limited to injury, sickness, damage, or death resulting from participation in boarding.*

I understand that special needs pets, young pets and senior pets naturally have a higher risk of injury, stress-related illnesses, weakened immunes system or exacerbation of any pre-existing condition. *

I understand that it is the owner’s responsibility to provide an adequate supply of food and medications for my pet’s entire stay in the care of EVC Boarding. Should food or medications need replacement, owner authorizes EVC Boarding to purchase replacements and Owner will reimburse EVC Boarding for the actual food and medication costs.*

I understand that if I do not provide to supply food for my pet, EVC Boarding may feed my pet(s) kennel provided diet.  I understand that sudden diet changes may cause stomach issues and other medical issues to arise. I am financially responsible for any medical treatment that my pet receives as a result of a sudden diet change.*

I understand that EVC Boarding will make every attempt to return all items that I’ve left with my pet; however some items may be lost due to bedding changes or cleaning the items.  EVC Boarding cannot guarantee the return of these items.*

I understand that boarding animals will be admitted and discharged only during the regular office hours of Elmbrook Veterinary Clinic and EVC Boarding.  Our office hours are posted on our website and front door to the business.  We are open Monday-Thursday 7:30 AM- 5:30 PM, Friday: 7:30 AM- 4:30 PM and most Saturdays: 7:30 AM- 12 PM. We are closed on Sundays.*

I understand that Elmbrook Veterinary Clinic and EVC Boarding have the right to refuse admittance to any pet or dismiss any pet that does not meet or maintain the health, temperament or other boarding standards.  The determination shall be made at the sole discretion of Elmbrook Veterinary Clinic and EVC Boarding*

I understand that if my pet develops any medical condition during their stay Elmbrook Veterinary Clinic Boarding (EVC Boarding) reserves the right to treat as necessary to prevent the spread of illness.*

I understand that in the event of a medical emergency that EVC Boarding, in its sole discretion, deems it appropriate to seek immediate attention of a licensed veterinarian, I will be financially responsible for any medical treatment my pet receives as a result of this emergency. *

I understand EVC Boarding will make every attempt to contact myself or the authorized agent listed on this form.  If I am unable to be contacted EVC Boarding will proceed as the doctor deems necessary.*

I give permission to perform services up to $300. *

I understand that in the event of an emergency, life-saving measures will be taken.  (If you do not want Elmbrook Veterinary Clinic to perform life-saving measures please sign the DNR release below. )*

I do not want life-saving measures performed on my pet: