974 Home Plaza Waterloo, IA 50701 319-232-5292 www.denherdervet.com Boarding Instructions Owner _____________________________________________________________________________________________ Boarding Drop Off ______________________________ Pick Up ______________________________ (We have drop-off and pick-ups during our normal business hours only.) Who will be picking up your pet? _______________________________________________________________ Where can we reach you while you are gone? _________________________________________________ Emergency Contact Name and # ________________________________________________________________ Pet's Name ________________________________________________________________________________________ Breed _____________________________________ Color/Markings _____________________________________ Food We have a variety of prescription diets available for your pet to eat while boarding. Unless otherwise specified, we feed an intestinal friendly, low fat prescription diet made by IAMS twice daily in the morning and evening.  Special Diet Requested _____________________________________________________________ (Please contact our office to make sure we have this diet available.)  How many cups of food does your dog eat per day? _____________ cups  How often does your dog eat per day? 1 2 3 times (circle one)  I am bringing my pet’s own food ______________________________________________________ (What are you bringing?) Special Feeding Instructions: Medications Is your pet taking any medications (other than Heartworm/Flea/Tick)? If Yes, please list what meds, how much and how often: Yes No Habits & Belongings Anything we should know about your pet? (e.g., dog aggressive, cage fright, storm anxiety) If you are bringing personal items, please describe: Extra Walk Each Day ($7.50): Yes No Professional Bath (prices vary by size): Yes No