Bannerman Pet Care

1580 Bannerman Road, Unit #5, Tallahassee, Fl 32312

Phone: (850)893-2043   Fax: (850)893-2012

Boarding Release Form


Owner’s Name:­­________________________________________________________________________


Pet’s Name(s):­_________________________________________________________________________


Drop-off date:­­­­­­­­­­_____________________________     Pick-up date:­________________________________


Person to pick up pet (if not the owner):­_____________________________________________________


Emergency Contact Number______________________________________________________________



Pet Instructions

Did you bring your pet’s food?   Yes No

When do you feed your pet?      AM Lunchtime    PM

How much do you feed your pet? __________________________________________________________

Did you bring any personal items with your pet (blanket, toys, treats, etc)?   Yes   No

If so, please describe them: _______________________________________________________________


Is your pet on any medications?   Yes   No    Medications:______________________________________

When are the meds given?   AM  Lunchtime  PM   As needed   4 times a day

Has your pet received any meds today?   Yes    No

Does your pet have any special needs or instructions? ____________________________________________


A Capstar will be automatically administered to your pet at the end of his/her stay to kill any fleas that he/she

may have brought in or picked up while here. This is included in the cost of boarding.


Would you like any “extras” to pamper your pet during their stay?

For dogs boarding more than 3 nights, baths are offered at half price!

Bath   Medicated Bath    Nail Trim    Express Anal GlandsGrooming    Ear Cleaning    Vaccinations

**Additional charges will be incurred for these services. Our receptionist will be glad to provide estimates for these procedures.


I authorize the doctors and staff at Bannerman Pet Care, in the event of an emergency, to provide medical treatment for my pet

while in their care. I understand that the staff will do their best to contact me and inform me if any additional medical services are

required. I also assume financial responsibility for all charges incurred, and agree to pay all such charges at the time of release of the pet.


Signature: ______________________________________________  Date:_________________________


*Staff Only* Date/location of last vaccines:­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­____________________________________________________

  Staff Initials:_______________________