Lucky Paws Daycare & Boarding - Online Enrollment

WELCOME TO
THE PACK!

Lucky Paws Dog Enrollment Form

Dog Information:

Pet Name:	DOB:	/	Male Female	Size:
Breed:	Color:		Spayed/Neutered?
How does this dog socialize with other dogs?
Additional Comments:

Vaccinations:

Food:

Is this dog current on the following vaccinations?

•Distemper •Bordatella •Rabies

Please provide documentation on all of these vaccinations.

Amount:	AM	PM
Food Notes:

Terms & Conditions:

I understand that I am solely responsible for any harm caused by my dog while dog is attending Lucky Paws, Inc. I further understand and agree that in admitting my dog to Lucky Paws, Lucky Paws representatives have relied on my representation that my dog is in good health and has not harmed or shown aggressive or threatening behavior towards any person or any other dog. I further understand and agree that any problems which develop with my dog 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 dog 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: --

TODAY'S DROP-OFF & PICK-UP HOURS:
10-12 NOON & 4-5 PM

LIVE WEBCAM PET TRACKER

Your Name:
Your Email:
Phone Number:
Message:
	In order to avoid "spam" submissions, please enter the text you see in the image into the textbox below.