Todays Date *

MM

DD

YYYY

Name *

First Name

Last Name

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Primary Phone Number *

(###)

###

####

Secondary Phone Number

(###)

###

####

Significant Other Name

First Name

Last Name

Significant Other Phone Number

(###)

###

####

Emergency Contact Authorized to pick up pet *

First Name

Last Name

Emergency Contact Phone Number *

(###)

###

####

Secondary Contact Authorized to pick up pet

First Name

Last Name

Secondary Contact Phone Number

(###)

###

####

Gender *

Female

Male

Spayed/Neutered *

Yes

No

Second Pets Gender

Male

Female

Is second pet spayed/neutered?

Yes

No

Third pets gender

Male

Female

Is third pet spayed/neutered?

Yes

No

Primary Veterinarian Phone Number *

(###)

###

####

Primary Veterinarian Emergency Number (if available)

(###)

###

####

Are vaccinations up to date? *

A copy of all vaccinations is required prior to or at the time you drop off your pet. They can be faxed to 573-445-9257 or emailed to thepetfair@thepetfair.com or a copy furnished to the Pet Fair at the time of drop off.

Yes

No

Emergency Care *

In the event of an after hours emergency and we are unable to get into contact with your veterinarian, we will have your pet cared for by the University of Missouri Veterinary Service. We will attempt to contact you prior to taking your pet to be seen at the University. You understand that you are responsible to pay for any and all veterinary care expenses related to your pet.

Yes I understand and agree

Our house food is Science Diet Sensitive Stomach. Would you like to use this food for your pet(s) during their stay? There is a $5 daily charge per pet for this service. *

Yes, feed my pet(s) your house food.

No, I will provide my pet(s) food.

If you choose to bring your pets own food it must be pre-packaged according to each meal. Any food that is not pre-packaged will result in a daily fee of $5 per day. Please acknowledge by checking "yes"below. *

Yes

May we add fortiflora, endosorb(like peptobismol for dogs) or pumpkin for soft stool or diarhea. If no please provide a solution for us to use below. *

Yes

No

Would you like us to add can dog food or baby food to your pet(s) dry food if they are not eating well? *

Yes

No

Has your pet been boarded before? *

Yes

No

Has your pet shown signs of aggression when their food or toy is taken away *

Yes

No

Has your pet ever bitten or broken the skin of anyone or another animal? *

Yes

No

Is your pet an "escape" artist?; for example do they climb/jump over or dig under fences? *

Yes

No

Is your pet housebroken? *

Yes

No

Does your pet shred toys, pull our stuffing or destroy bedding? *

Yes

No

Does your pet(s) suffer from any stormy or bad weather phobias? *

Yes

No

Please select "Yes" to indicate that you have read and agree to the Overnight Boarding Policies of The Pet Fair *

Yes I agree

No I do not agree

Pets sharing a space *

I give permission for my pets to stay together and understand that I am responsible for any treatment needed for any aggression occurring their stay. I also understand that they may be separated should such issues arise and that I will be charged the cost of the additional room. I understand that their is no overnight supervision at The Pet Fair and The Pet Fair is not responsible for any injury or death occurring during that time.

Yes

No

Does not apply to me

Client Release of Liability Agreement *

I will not hold The Pet Fair or it's staff responsible if my pet(s) should injure themselves, refuse food, become ill or die while staying at The Pet Fair in the absence of gross negligence. I also realize that I am responsible for payment of any treatment required for my pet(s) due to any of the above issues. I hereby authorize The Pet Fair and it's employees to do whatever is deemed necessary for the safety, health and well-being of my pet while under the care of The Pet Fair. By selecting and signing below I acknowledge that I have read this agreement and release of liability in its entirety and agree to it and all other Pet Fair policies above. This agreement shall be binding for every time services are rendered by The Pet Fair on my behalf.

I agree

I do not agree