WELCOME TO
THE PACK!
Lucky Paws Owner Enrollment Form
Pet Owner Information:
First Name:
Last Name:
Email:
Phone 1:
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Phone 2:
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Phone 3:
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Address:
City:
State:
ZIP:
How did you find out about us?
Emergency Contact Information:
Your emergency contact should be someone who is likely to be available in your absence, and who you would trust to make decisions about your pets.
Full Name:
Relation:
Phone 1:
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Phone 2:
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Veterinarian Contact Information:
In case of an emergency, it may be helpful to contact your animal's primary veterinarian for information. Should your pet need emergency care, he/she will be taken to one of our partner veterinary clinics.
Vet Clinic:
Vet's Phone:
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Authorized for Pick-Up:
Only those listed below will be authorized to pick-up your pet.
Full Name #1:
Full Name #2:
Full Name #3:
Full Name #4:
Full Name #5:
Full Name #6:
Terms & Conditions:
I hereby agree to all of the policies of Lucky Paws, Inc. and accept the terms and conditions of leaving animals in their care. As caretaker, Lucky Paws is authorized to act in the best interest of my animal, including emergency care. I accept full responsibility for any medical costs or services rendered. I recognize that Lucky Paws operates as an open kennel environment and accept the natural hazards of that environment including the risk of injury or disease from other animals. Lucky Paws, Inc. takes every precaution to prevent such incidents, but holds no responsibility or liability for the actions of any animal on the premises. I understand that, to the discretion of Lucky Paws staff, if my animal displays aggressive behavior, he or she may lose the free roam privilege and may need to be picked up early or taken to another boarding facility. I have inspected the premises including all enclosures indoors and outdoors and feel they are adequate for the safety, security, and containment of any animal(s) I bring to the facility. Boarding is a 24 hour time period with a 2 hour grace period. Animals picked up after the grace period will be charged one day care rate. Animals not picked up on scheduled date may stay at the usual rate so long as space is available. If there is no vacancy, your dog may be taken to another boarding facility (fees apply). We reserve the right to refuse admittance to any animal.
I agree to the terms & conditions above
Your Name:
(acts as signature)
est. 2009
