Senior Pet Form

Here at Canine Country Club we do everything we can to make the boarding experience as comfortable and safe as possible for our elderly guests. Despite our best efforts, being away from home may cause existing conditions to worsen or underlying conditions to become apparent.  We appreciate you letting us know everything there is to know about your precious Senior Pet.

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Pet Owner's Name
Please check all of the below observations that apply to your pet. Please detail the checked conditions in the space below or add anything that was not listed.

We will ALWAYS try to get in touch with you immediately in an emergency.

In the event that my pet becomes ill while myself and any emergency contacts I have listed are unreachable, I give my permission to:
*Regardless of cost means that, in a life threatening emergency, all medical and life preserving options will be pursued.
In the Event of Death:
Pet Owner Signature(Required)
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This field is for validation purposes and should be left unchanged.
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