Boarding Consent Form

Name:

First Name:
Last Name:

Emergency Contacts Details

Emergency Contact:

First Name:
Last Name:

Certificate Provided:

YesNo

All Cats and Dogs must be fully vaccinated (F3 or C5, respectively) and up to date before boarding, and a certificate must be provided if not completed at the Centre. If your pet is not up to date on vaccines, this may be discussed on a case-by-case basis. If QVCC allows them to board, you understand they are at a higher risk of contracting disease, and if they do, QVCC is not responsible.

I authorise the Centre to carry out the below selected treatment that may be deemed necessary whilst my Cat/Dog is under QVCC care, and will settle my account upon departure. I understand that in some circumstances I may be required to pay an additional deposit for any larger emergency procedures performed whilst in boarding.

I authorise QVCC to conduct minimum diagnostic/treatment work deemed necessary whilst my pet/s are in QVCC care, should they become ill:

YesNo

I authorise QVCC to conduct all diagnostic/treatment work deemed necessary whilst my pet/s are in QVCC care, should they become ill:

YesNo

I understand QVCC will not be responsible should my pet become unwell whilst in their care and that any diagnostics or treatments will be charged as normal and be paid by the owner:

YesNo

I understand that if QVCC cannot contact me in an emergency, I consent to my nominated emergency contact making decisions regarding my pet’s treatment on my behalf, including consent for euthanasia if deemed necessary:

YesNo

I understand that all boarding fees must be paid for prior to boarding:

YesNo

I acknowledge that there will not be anybody staying at the Centre overnight, and QVCC is unable to take responsibility should any complications arise during your pet/s time of boarding or be responsible for concerns that may arise during your pet/s stay that are out of QVCC's control, as we will not be monitoring 24 hours per day.

By signing this form, I/We agree that ...

i. All questions by us have been answered satisfactorily;

ii. I/We have read and understood this document;

iii. Authorise and consent is given as required;

iv. Agree to QVCC's payment terms and conditions;

v. Aware that all payments are due at the time of service;

vi. Agree to be personally responsible for all professional fees as rendered by QVCC;

vii. Agree that whilst all care is taken by QVCC, I/We have had the risks explained and hereby indemnify and keep indemnified QVCC and employees against claims however arising.

BOARDING CONSENT FORM

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