Little Critters Hideaway

Please print and fill-out for each pet before dropping them off.

PET'S NAME:_______________________________________________________

SPECIES:__________________________________________________________

GENDER:___________________________________________________________

DESCRIPTION (COLOURS, MARKINGS) _______________________________

___________________________________________________________________

OWNER'S NAME:____________________________________________________

ADDRESS:__________________________________________________________

___________________________________________________________________

HOME PHONE:______________________________________________________

CELL PHONE:_______________________________________________________

PHONE TO CALL WHILE BOARDING:__________________________________

VET NAME:_________________________________________________________ 

VET PHONE:________________________________________________________

SPAYED/NEUTERED:   YES_____     NO_____

SHOTS TO DATE:___________________________________________________

___________________________________________________________________ 

MEDICATIONS:_____________________________________________________

___________________________________________________________________

DROP OFF DATE:___________________________________________________

PICK UP DATE:_____________________________________________________

FEEDING SCHEDULE:________________________________________________

EXTRAS REQUESTED:_______________________________________________ 

I ________________________________ hereby declare that I have provided and disclosed all necessary care instructions and information on my pet's behaviour and health to Little Critters Hideaway and acknowledge that handling and playtime may be affected by such (aggressive, biting, sickness). Any illness that occurs that is found to have originated prior to being placed in the care of Little Critters Hideaway I will reimburse any veterinary costs incurred for not only my animal, but any other animals affected (both resident and other clients'). I understand that payment is due upon drop off and no refunds are issued for early pick up.

DATE:____________________________________________

SIGNATURE:_______________________________________