Owner Information Sheet

Dog's Name:
Owner's Name:
Address:
 
Email Address:
  Please add me to the Happy Tails Dog Spa email newsletter.

Contact Phone Numbers:   (Please list contact name and order of preference)
  home   work   cell  
  home   work   cell  
  home   work   cell  

Emergency Contact:   (in the event you cannot be reached)
Name:
Home Phone: Work Phone:

Veterinarian:
Name:
Address:
 
Phone:

In a medical emergency I prefer the following:   (Please check all that apply)
Please contact me first  
Please only use my veterinarian  
You may take my dog to the nearest available veterinarian  


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HAPPY TAILS DOG SPA™ is a service mark of Happy Tails Dog Spa, LLC.