Owner's Information

    Dog(s) Name(s):
    Owner's Name:
    Owner's Email:
    Owner's Cell Number:
    Other Daytime Phone(s):
     
    If applicable:
    Co-Owner's Name:
    Co-Owner's Email:
    Co-Owner's Cell Number:
    Other Daytime Phone(s):

    Address

    Not used for advertising. We never sell your contact information.

    Street Address:
    City:
    Zip:

    EMERGENCY CONTACT

    In case of emergency where we cannot reach you or your partner, please provide an alternate contact person we can speak with about your dog. This should be someone who can pick up your dog if necessary, or make health decisions in an emergency.
    Emergency Person--NOT an Owner!:
    Emergency Contact Phone:

    Pickup Policy

    Our dog clients have many changing caregivers. Our default pickup policy is as follows: We will release your dog to anyone who can tell us your dog's full name, an owner's full name, and a description of your dog.
    I understand and agree to this pick up policyI will supply photos, names, and contact numbers for the limited number of people who are AUTHORIZED to pick up my dog.I will supply photos and names of the limited number of people who are UNAUTHORIZED to pick up my dog.

    Please note custody restrictions will not go into effect until you provide the names, photos and contact information for those who are authorized / un-authorized to pick up your dog.

    How did you find us?

    Please let us know how you heard about us.
    Saw SignGoogleOther InternetAuctionA FriendVet ClinicTrainerPet StoreOther
    If you heard about us from a friend or a local business, please let us know who so we can say "Thank you!" to them:

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