Bannerman Pet Care
1580 Bannerman Road, Unit #5, Tallahassee, Fl 32312
Phone: (850)893-2043 Fax: (850)893-2012
Boarding Release Form
Drop-off date:_____________________________ Pick-up date:________________________________
Person to pick up pet (if not the owner):_____________________________________________________
Emergency Contact Number:______________________________________________________________
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 Glands □ Grooming □ 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:____________________________________________________