As the owner of First Name* Last Name* , I agree to the following terms and conditions when my pet(s) are in the care of BALANCED PAWS.
Dog name: First Name* Last Name* Breed: Type a label* Gender: Type a label* Weight: Type a label* D.O.B: Type a label* Colour: Type a label* Allergies: Type a label* Desex Status: Type a label*
NAME: First Name* ADDRESS: Street Address* Address Line 2* City* State* Zip*
I First Name* Last Name* give permission for images and videos of my dog(s) First Name* Last Name* to be posted on social media sites (Facebook, instagram, etc.)