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  • Date Format: MM slash DD slash YYYY
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  • Date Format: MM slash DD slash YYYY
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  • If your pet requires medication during their stay with us, please bring this medication with you when you drop your pet off. We will need to know when medication(s) were last administered at the time of drop off.

You will be asked to consent to the following authorization statement when you drop your pet off. Please read.

I, the undersigned, do hereby certify that I am the owner (or duly authorized agent for the owner) of the animal noted. I hereby give Dr. Deji Odetoyinbo, his agents and representatives of Bathurst Animal Clinic permission to board my pet for the duration specified.

I understand that every precaution is taken to keep my pet safe and healthy at all times during their stay at Bathurst Animal Hospital. However, in the event of illness, injury, escape or failure to eat, I hereby release Bathurst Animal Clinic from and against all liability directly or indirectly arising from the boarding of my pet.

Unforeseen Conditions: 
I also understand that any unforeseen conditions that may arise during my pet’s stay may, in the opinion of Dr. Odetoyinbo, require procedures or treatments where anaesthesia may be necessary in order to perform them. I understand that reasonable efforts will be made to contact me to explain these procedures and treatments and obtain my instructions regarding them. However, if efforts are unsuccessful, I authorize the performance of any and all procedures or treatments which are necessary in the professional opinion of Dr. Odetoyinbo and the staff at Bathurst Animal Hospital. I also understand that I will be responsible for any fees and charges associated with these procedures and treatments, which must be paid in full at the time that my pet is discharged from Bathurst Animal Hospital.

Parasite Control: 
A fecal sample MUST be tested and yield negative results within 6 months that <animal> is admitted for boarding. If a fecal sample has not been submitted and tested within the last 6 months, one will be collected and tested during my pet’s stay. I understand that I will be responsible for the associated charges of fecal testing, and parasite treatment (if required).
I understand that if my pet has fleas, ticks or other parasites during their stay, they will be treated accordingly and I will be billed for the required treatment.
I understand that medications that need to be administered are subject to a daily administration fee in addition to the cost of the medication.

I understand that if my pet remains ‘unclaimed’ 10 days after the agreed-upon boarding period, that they may be regarded as abandoned. In this event, the clinic will make reasonably exhaustive attempts to contact me or any emergency contact I may have identified on this form. If these attempts remain unsuccessful, the clinic reserves the right to transfer the ownership of my pet to an animal shelter or to a third party.

I have read and agreed to the above terms and policies. I understand that I may have a written estimate for fees and charges of my pet’s boarding if I do so request.