Lucky Paws Cat Enrollment Form

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Hours For Friday, June 9th: 7-11am & 3-7pm

Lucky Paws Cat Enrollment Form

Cat Information:

Pet Name:		DOB:	/	Male Female
Breed:		Color:		Spayed/Neutered?

Vaccinations:

Food:

Is this cat current on the following vaccinations?

•FVRCP •Leukemia •Rabies

Please provide documentation on all of these vaccinations.

Amount:	AM	PM
Food Notes:
Has this cat ever shown signs of food aggression?

Additional Comments:

Terms & Conditions:

I understand that I am solely responsible for any harm caused by my  while cat is attending Lucky Paws, Inc. I further understand and agree that in admitting my cat to Lucky Paws, Lucky Paws representatives have relied on my representation that my cat is in good health and has not harmed or shown aggressive or threatening behavior towards any person or any other cat. I further understand and agree that any problems which develop with my cat will be treated as deemed best by staff and volunteers of Lucky Paws at their sole discretion, and that I assume full financial responsibility for any and all expenses involved.

I agree to allow this cat to co-mingle, to the terms and conditions above, and certify that all information provided is accurate to the best of my knowledge.

Date:

Full Name: (acts as signature)

Phone: --