Boarding Release

Today's Date

Pick-up Date

Last Name

Phone / E-Mail Where You May Be Reached In An Emergency

Approximate Pick-up Time

I’d like my pets to be kept in the same cage (dogs and cats are boarded separately) * Please indicate pets’ names

I’d like my dog(s) to be kept in one of the luxury boarding suites if available (additional $35/day)

I’d like my pets to receive a bath prior to release (Please be sure to indicate pick-up time)

I’d like my dog(s) to receive extended exercise each day while boarding (additional $15/dog/day for 20 – 40 of additional exercise each day)

I’d like my dog to receive Play Care at Canine Connection : CIRCLE ONE (additional $41 per day; payable to Canine Connection)

Specific Dates

* Play Care is only available for dogs whose owners have already submitted applications and have been approved. All vaccines (DHPP, Bordetella and Rabies) must be up to date. Malibu Coast Animal Hospital is not responsible for injuries that occur while your dog is at Canine Connection. Any costs for treatment of injuries incurred at Canine Connection are the responsibility of the pet owner. Canine Connection is an independently owned and operated business; it is not associated with Malibu Coast Animal Hospital.

My pet is on a monthly flea preventative (Comfortis, Vectra 3D, Nexgard, Revolution, Sentinel, etc.)

Last Given

I’d like my pet to be given a flea preventative at drop-off and pick-up. (Capstar will be administered unless otherwise specified; fees will be applied at pick-up)

* We supply bedding and toys (upon request) during your pets stay. We strongly discourage leaving any personal bedding or toys as they may be lost or soiled. If you choose to leave personal items with your pet, we will do our best to return them to you, however be advised that there is no guarantee of returned property and Malibu Coast Animal Hospital has no responsibility for the loss or damage of personal items.* We are happy to provide food for your pet during his or her stay with us. Dogs are fed a Sensitive Stomach diet and Cats are fed a Urinary Health Diet. If you would like to provide your own food for your pets stay, we are happy to feed it. In order to help with storage space we request that you refrain from bringing large bags of food with your pet. Small bags or large Ziploc bags of food are preferred.

My pet eats

Please enter number of dry food cups

Per day and/or number of wet food can(s)

Or My pet eats

Package(s) of JustFoodForDogs per day

Please list and describe any food or items you are leaving with your pet.

Please indicate any special instructions (medication instructions, etc.)

Signature

I understand that payment is due at the time of release. I further understand that the Doctor (unless otherwise instructed by me at drop-off) will perform any tests or procedures he or she feels is necessary for the health, safety, and comfort of my pet and that I am financially responsible for these services.

Date

Contact Info

  • Address:
    23431 Pacific Coast Hwy
    Malibu, CA 90265
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  • Phone:
    (424) 402-5100
  • Fax:
    (310) 317-4562
Roya123! none 7:30 AM - 6:30 PM 7:30 AM - 6:30 PM 7:30 AM - 6:30 PM 7:30 AM - 6:30 PM 7:30 AM - 6:30 PM 8:30 AM - 2:00 PM 8:30 AM - 2:00 PM