Good Paws Bed & Biscuit, Inc.
Pre-registration Form
Owner Name:__________________________________ Date:_____________
Address:________________________________________________________
Phone:_______________ Alternate Phone_______________ e-mail ____________________
Emergency Contact/alternate pickup__________________________________________
_______________________________________________________________________
Pet Name____________________ Breed/Color__________________ Sex___________
DOB___________________ Height________________ Weight______________
Altered Status____________ Distinguishing Marks_________________________
Veterinarian________________________ Phone:________________________
Brand Food Provided:__________________ Feeding Instructions_________________
Belongings______________________________________________________________
Medical Notes:___________________________________________________________
Special Needs:____________________________________________________________
Check-in Date:_____________________ Check-out Date:_____________________
Suite size___________
Vaccinations: (copy of records is required)
__________ Bordetella (within 6 months)
__________ DPP – distemper, hepatitis, leptospirosis, parainfluenza and parvo virus.
__________ Rabies
Signed ______________________________________ Date:______________________
| Print this page and bring to Good Paws Bed & Biscuit for Pre-registration or e-mail pertinent information to kevcargood@att.net |
