Welcome to littleresq

Boarding Form

Please complete the following form to board your pet(s).

The more information you give, the better informed we will be to care for the animal.

Thank you.

Contact Information

First Name*

Last Name*

Address*

City*

State/Province*

Zip/Postal Code*
-

Email*

Home Phone*

Cell Phone

Alt Email

*=required

How can you be contacted while your pets are here?*

In the event we cannot reach you, who is your secondary contact? How can we reach them?*

When do you want to start boarding your pet?*

How long will your pets be staying in the shelter? *

What type of pet(s) are we boarding?

Bearded Dragon	Boa Constrictor
Corn/King Snake	Gecko
Python	Tortoise (land)
Turtle (water)	Other

How many reptiles are we boarding at the shelter? *

What is/are your pet(s) name(s)?

What is your pet(s) age, sex and size? Turtles are measured by shell length only. *

What does your reptile eat? What is the frequency and amount offered?*

Is your pet(s) on any medication/vaccines now or in the past? If yes what were/are they? *

If your pet(s) become(s) ill, we will provide emergency triage veterinary care regarding your pet's symptoms, treatment options and estimate of costs.

Please perform whatever services the doctor deems necessary for the best care of my pet(s) until someone can be reached - this includes only non-elective treatments and necessary diagnostics.	I authorize up to a set dollar amount. (follow up will be asked)
I am unable to provide monetary support.	Do not administer any medical treatment until specific authorization is given unless the shelter is unable to reach me in a timely fashion. In such a case, I do hereby grant and authorize the shelter to treat or manage my animal(s) as judged appropriate by medical staff, as dictated by medical necessity.

Veterinarian's Name and Phone Number*

I certify that the information entered on this applicant is true. Enter your name and date*

Parental Signature is required if the applicant is under 18 years of age.

*=required