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SPAH Cat Boarding Form

Welcome to the "Meow-iott" at South Putnam Animal Hospital
This question requires a valid date format of MM/DD/YYYY.
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This question requires a valid date format of MM/DD/YYYY.
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Please Select One: *This question is required.
Vaccines Required *This question is required.
Flea Treatment:
To provide the best possible care for all of our boarders, each pet admitted to the hospital will be examined for fleas and flea dirt. Each pet exhibiting evidence of fleas will need to be treated while here.
Special Needs
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Please be aware that we may need to adjust your cat’s medication and/or diet based on his/her needs while boarding with us.
It is the policy of our Hospital to require a minimum deposit of 50% of the boarding fee for your cat’s stay. Please leave this payment with the receptionist when signing your pet into the hospital.

You are to use all reasonable precaution against injury, escape, or death of my pet. The hospital and staff will not be held liable for any problems that develop provided reasonable care and precautions are followed.. By signing this contract, I am stating that I am the owner of the above pet or their authorized agent and guarantee that I have the authority to sign this contract and am personally liable for expenses for lodging, veterinary services, and any other fees incurred while my pet is boarded. I UNDERSTAND THAT ALL CHARGES ARE DUE AND PAYABLE UPON DISCHARGE OF MY PET. I ACKNOWLEDGE THAT I AM OVER 18 YEARS OF AGE. *This question is required.
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Signature of
Authorization for person other than owner/agent listed to pick up pet
Signature of Authorized Person
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Signature of