Boarding Consent

Owner's Name
Cat's Name
MM slash DD slash YYYY
MM slash DD slash YYYY
Type of Boarding Suite

If the Cat Clinic has any questions or concerns call:
Alternate Contact


If your cat is on any medication (including SQ fluids) please fill out the additional form. There is a daily charge for medication.
Is your cat on a monthly flea preventive?
Cats that are not on a monthly flea preventative will have a dose of Revolt administered ($13.00).
(include amount of wet food and amount of dry food)
(include amount of wet food and amount of dry food):
Would you like photos sent to you while your cat stays with us
Please feel free to call, email, or text us to ask for photos if you do not receive them as often as you would like.


*In the event of a life threatening emergency while your pet is in our care, please let us know the level of treatment you would like provided for your cat. Please look through the following options below and select your preference.
If someone other than you will be picking up your pet, please provide their name:
Estimated pick-up time
I give permission to CCJC to use my cat(s) photo(s) on Facebook after they have gone home from boarding.