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New Customer Form

Name *

First

Last

Address

City/State/Zip *

Phone # *

Email *

Emergency Contact *

Emergency Number *

Pet's Name *

Pet's Weight *

Pet's Gender *

Male
Female

Has your pet been neutered? *

Yes
No

Breed *

Color *

Vet/Phone # *

Name

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REMINDERAll bordetella (kennel cough) vaccinations have to be done 2 weeks prior to dropping off. This shot is not legally required, but highly recommended that all dogs have it. This vaccination can spread to other dogs and make them sick if done to soon to coming in.