ABIGOLD’S BOARDING AGREEMENT
(ALL CLIENTS MUST COMPLETE THIS FORM)
CLIENT’S NAME:
ADDRESS:
HOME PHONE NUMBER:
WORK PHONE NUMBER:
CELL PHONE NUMBER:
BEST NUMBER IN CASE OF EMERGENCY:
IF CLIENT IS NOT AVAILABLE, CALL:
CREDIT CARD AUTHORIZATION
Visa Card Number . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . .
Exp. Date:
MasterCard Number . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . .. . . . . . . . . .
Exp. Date:
I understand that valid credit card information is required to hold
all reservations at ABIGOLD. I authorize ABIGOLD to keep the above
credit card account number and expiration date in my file. By signing
below, I authorize ABIGOLD to charge deposits, boarding fees, day care
fees, training fees, cancellation fees, and service fees to this card as
appropriate.
CLIENT’S SIGNATURE DATE
MEDICAL AUTHORIZATION FOR VETERINARY CARE
I certify that I am the dog’s owner or the dog owner’s agent.
I hereby authorize ABIGOLD to do whatever is necessary in ABIGOLD’s judgment
to care for my dog in case of illness, injury, or emergency situation.
I hereby give Becky Timpano of ABIGOLD permission to take my dog (s) for
treatment to the licensed veterinarian of her choice in case of illness,
injury, or medical emergency while boarding with ABIGOLD. I understand
that I am responsible for all charges incurred.
CLIENT’S SIGNATURE DATE
AGREEMENT TO ALL TERMS OF ABIGOLD’S BOARDING POLICY
I certify that I am the dog’s owner or the dog owner’s agent.
I have read ABIGOLD’s current boarding policy. I fully understand
and agree to all terms. I understand that I must prepay all fees at drop
off. I agree to pay all deposits, boarding fees, day care fees, training
fees, cancellation fees, and service fees owed to ABIGOLD. I agree
to pay in full for all veterinary services rendered. I understand
that all fees must be paid in full before my dog will be released to me.
CLIENT’S SIGNATURE DATE
(Revised 09/02/05)