Owner Name Mr/Mrs/Dr_________________
Address___________________________________________________
Pet name______
Breed________ Age_______
Duration of boarding__________________________________________
I, the undersigned, do hereby certify that I am the owner of the pet described above. I requests the vets at “Shri Mahesh Animal Care And Dog Surgery” to keep them for boarding for ____ days w.e..f. _________ to ____________. I certify that the above mentioned pet has been vaccinated properly and has not bitten to anybody during the last 15 days and to the best of my knowledge has not been exposed to rabies.

In case the animal becomes ill, dies or runs away from the facility, I will Not hold the vets responsible for the same.