Name * First Last Phone Number * Boarding Date Start * Boarding Date End * Guinea Pig Information Guinea Pig Name 1 Guinea Pig Gender 1 Male Female Guinea Pig Name 2 Guinea Pig Gender 2 Male Female Medical Information Current Vet Name * Current Vet Contact Info * Medical Conditions/Medications Is there a chance any of the pigs are pregnant (exposed to male, showing symptoms, etc)? * Yes No Have the pigs seen a vet in the last 12 months? * Yes No Date of Last Vet Visit Have the pigs been treated with Ivermectin in the last 3 months? * Yes No Date Ivermectin Dose Agreement Acknowledgement 1) TGPR does not claim permanent ownership or financial responsibility for the boarding pig(s). * — Select — I agree 2) If medical care is required, the pig(s) will be seen by the above-mentioned Vet as available. In emergency situations (or if outside the Virginia Beach area), the pig(s) may be seen at Pet Care Vet Hospital or Bay Beach Vet Hospital in Virginia Beach. The owner agrees to pay all expenses incurred for medical care while the pig(s) are in the care of TGPR. * — Select — I agree 3) TGPR will attempt to contact the owner at the above listed number prior to non- emergency medical care. If the owner cannot be reached, they give TGPR express permission to make life saving decisions with the veterinarian. * — Select — I agree 4) The boarding pig(s) will eat oxbow hay, pellets and drink filtered water while in the care of TGPR. A Midwest sized cage and cage accessories will be provided by the rescue during the boarding dates. Fresh veggies will also be provided daily. * — Select — I agree 5) Boarding fees must be paid in full upon drop off. Refunds for boarding fees are not available. * — Select — I agree 6) All pig(s) must be in good health and free of illness, mange, mites or ringworm. They must also be under the care of a vet. Any pigs that have not had preventative ivermectin in the last 30 days will receive a dose on arrival. * — Select — I agree