Name: Woburn Animal Hospital
Address: 373 Old Russell St, Woburn, MA, 01801, US
Telephone: (781) 933-0170

Please complete our Boarding Check-in Form before bringing your pet to Woburn Animal Hospital.

Call (781) 933-0170

Form

Pet's Name *

Pet's Breed *

Pet's Age *

Pet's Gender

Patient Alerts

Owner's Full Name *

Phone Number *

Drop Off (Arrival Date) *

Arrival Time *

Pick Up (Departure Date) *

Depature Time *

Departure Time *

Current Vet Clinic *

Feeding

Does your pet need a meal at drop off? *

Yes

Please check one: *

Ledgebrook Kennel Food

Own Food

Brand *

Feeding Schedule *

Noon

*If your pet will not eat during their stay, do you give us permission to dispense wet food to help entice appetite?

Yes

Medical Health Conditions

Does your pet have any medical health conditions? *

Does your pet have any allergies, including food? *

Does your pet require medication? *

Yes

If yes, please name the medications, their dosage, and when your pet takes them.

Does your pet have flea and tick prevention? *

Yes

If yes, when was it administered?

Own Belongings

Playtime / Grooming Services

All play/grooming services are an additional charge. If you do not sign up for playtime, your pet will get a walk 3x per day only.

Do you want your dog enrolled in our doggy daycare program during the day? *

Yes

Do you want your pet to have one-on-one with a staff member? *

Yes

Would your pet be better with individual play time or group play time? Note: Cats do not get group play, aggressive dogs are individual play only, and senior animals do better alone.

Please check off the service(s) needed: *

Bath

Furminate

Nails

Ears

Teeth (must bring own toothbrush or one will be dispensed)

Emergency Contact *

Phone Number *

If illness or emergency occurs and no one can be reached, Ledgebrook Kennel and Woburn Animal Hospital staff are authorized to proceed
with any treatment deemed necessary to protect the health and well-being of your pet(s).

Ledgebrook Kennel Boarding Agreement and Owner Consent Form

This form is considered a legal document. Please review all information carefully before signing.

Vaccination and Exam Policy

All pets admitted must be current on vaccinations/test required by Ledgebrook Kennel and Woburn Animal Hospital policy. Records must be
provided prior to check-in or they will be done at the hospital’s current rates. The owner will be charged for any exam, vaccines, and any
additional diagnostic tests or treatments required under hospital policy to ensure the health and safety of all boarded pets.

Medical Treatment and Emergencies

If illness or emergency occurs while boarding and the emergency contact cannot be reached, medical treatment will be provided at Woburn
Animal Hospital’s prevailing rates to ensure the best care for your pet(s). Ledgebrook Kennel and Woburn Animal Hospital staff will use their
best judgment to determine the appropriate level of care.

Boarding Charges and Payment Authorization

Pets not picked up by 10:00 a.m. will be charged an additional day of boarding. Ledgebrook Kennel will charge the credit card on file for the
full balance due. In cases of abandonment or death, the same authorization applies to settle any remaining charges.

Owner Acknowledgement

By signing below, I, the owner or caretaker of the pet(s), confirm that I have read, understand, and agree to all terms and conditions outlined
above. I authorize Ledgebrook Kennel and Woburn Animal Hospital to provide medical care as needed and agree to be financially responsible
for all services rendered.

Liability Waiver and Assumption of Risk

I understand that Ledgebrook Kennel and Woburn Animal Hospital will take all reasonable precautions to ensure the safety, health, and comfort
of my pet(s). However, I acknowledge that boarding, group play, and animal handling involve inherent risks, including illness, injury, stress, or
unexpected death.

I agree that Ledgebrook Kennel, Woburn Animal Hospital, and their staff shall not be held liable for any injury, illness, loss, or death of my
pet(s) arising from causes beyond their control, including but not limited to pre-existing conditions, contagious disease exposure, natural causes,
or the actions of other animals.

I further agree to assume full financial responsibility for veterinary treatment deemed necessary during my pet’s stay and authorize such
treatment at the discretion of the attending veterinarian.

Signature *

Date *

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Ledgebrook Kennel

About Our Ledgebrook Kennel
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Boarding Check-in Form

Happy Tails from Clients

They went above and beyond to assure us our cat was okay, and we never doubted he was in the best hands when we couldn’t be with him. Thank you, Woburn Animal Hospital for your high level of care and excellence!
- Sandra W.

Pet Records Sign-in Emergencies Patient Account Login Log in to your pet's patient account to book an appointment, refill a prescription, or access your pet's medical records.

Boarding Check-in Form