Our mission is to provide a loving, safe and secure
Home for your dog, while away from your home in the comfort of our home…
Addies Dog Boarding Agreement
Boarding Date From: ____________________ To: ____________________
Boarding Fee is $15.00 per dog, per day. The day you bring your dog counts as the first day and the day you pick up your dog counts as the last day. Boarding Fees are due the day you bring your dog and are subject to change without notice, please contact for current rate.
Your Name: _______________________________________
Address: ___________________________ City: ________________________ State: _______ Zip Code: ___________
Home Phone: _______________________ Mobile Phone: ________________ Work Phone: _____________________
Name / Place where you can be reached: _______________________________ Phone: __________________________
Emergency Contact: __________________________________ Phone: _______________________________________
Please Note: Emergency contact should be able to make a decision about the care of your dog if we are unable to reach you in the case of an emergency.
Your Veterinarian: ____________________________________ Phone: _______________________________________
If your dog has a medical need, and we are unable to reach you or your emergency contact, you authorize Addies medical release to have your dog treated at your veterinarian or a licensed veterinarian. You also agree full responsibility of payment for the veterinary services.
Dog’s Name: _________________________________________ Breed: _______________________________________
Gender: ____Female ____Male Spayed/Neutered: ____Yes ____No Is your dog fully housebroken? ___Yes ___No
Has non-neutered male marked his territory? ____Yes ____No Micro-chipped: ____Yes ____No Has your dog ever jumped a fence? ____Yes ____No Has your dog ever gotten away from you? ____Yes ____No Has your dog ever exhibited aggressive behavior or bitten someone or another dog? ____Yes ____No If yes, please explain: ________________ _______________________________________________________________________________________________________
Please bring enough dog food/treats for your dog. If we run out of food, Fromm dog food will be provided to your dog at a fee of $2.00/day. Feeding instructions (amount, time of day, etc.) ________________________________________
Vaccinations / Fleas:
For the safety of all boarded dogs, we require proof of DLHPP, Rabies (Indiana State law) and Bordetella (kennel cough).
We also require all dogs to be free of fleas. As a pre-caution, if your dog has fleas a Capstar we will administered. Capstar is an orally-administered tablet, providing fast and efficient treatment for fleas. Killing fleas within 30 minutes. Fee 2- 25 lbs. $5.50, 25.1 – 125 lbs. $7.00.
If your dog needs medication an additional charge of $2.00 per dose.
By signing below, you confirm all the above given information is correct and that you have read and fully understand and agree to all terms in this agreement. And agree to all fees.
Signature of owner: ______________________________________________________ Date: _________________________