Fill out information to schedule boarding.
Please call us at 336.275.7266 to confirm appointment.

If you are a new client, please also fill out the New Client Form

* Owner's Name:

* Home Telephone:

Work Telephone:

* Email:

* Contact info in case of emergency (name & number):

Special Instructions:

Pet Information:

* Pet's Name:

* Species (dog, cat, etc.)

Estimated Weight:

I request a run for my pet:

(For pets 60 lbs. and over,
or multiple pets)

Medication While Boarding: (Please bring meds with you)

 Name of Medication

 Amount Given

 Time Given

Medication 1 

Medication 2 

Medication 3 

Medication 4 

Boarding Dates:

* From:

  Month: January February March April May June July August September October November December Day: 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31   Year:

* To:

  Month: January February March April May June July August September October November December Day: 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31   Year:

Pick-up times:

7:00 am to 8:00 pm Monday and Thursday
7:00 am to 6:00 pm Tuesday, Wednesday, and Friday
8:00 am to 1:00 pm Saturday

Your estimated pick-up day and time:

Designated pick-up person:

I understand that if someone other than me picks up my pet, they will be responsible for all fees at check-out unless payment is rendered at drop-off.

Name of authorized pick-up person
(if applicable)

Owner Release: (To be filled out upon your visit) By clicking the submit button below, you are agreeing to the terms below: If any serious health condition develops, your pet will be treated as deemed best by the staff veterinarian. Expenses incurred are the responsibility of the owner. We will attempt to contact the owner or emergency name listed above before treatment is begun. Southwoods Animal Hospital and its staff will not be held liable for any problems that develop provided reasonable care and precautions are followed. Vaccinations: All pets boarding in our hospital are required to be currently vaccinated against RABIES and DISTEMPER, and have a current negative intestinal worm exam. Additionally, all dogs must be currently vaccinated against PARVO and BORDETELLA. If your pet is not a client of Southwoods Animal Hospital, please bring proof of vaccination or your pet's current veterinarian's contact information with you. Parasite policy: Your pet will be inspected for parasites upon admission by our kennel staff. Any pets showing obvious signs of parasites (i.e. fleas) will be treated at owner’s expense. Medication while boarding: We will be more than happy to continue your pet’s medication routine during their stay with us. What to bring: We provide blankets, bowls for food and water and Feed Hill's Science Diet Formula. If your animal is on a special diet please bring it with you. Please label any blankets, food, medication or toys clearly with your pets name. Animal restraint: For the safety of your pets and all other clients and patients, we request you keep your animal restrained at all times while visiting the animal hospital. If needed, we will be happy to provide a temporary leash for you to use. Signature: (To be filled out upon your visit) Date: (To be filled out upon your visit)