Meleah's Pet Daycare & Overnight Boarding

Pet Daycare & Boarding Intake

Please fill out your pet's information below to complete registration.
Client's Name

First NameLast Name
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Address

Street Address

Street Address Line 2

CityState

Zip Code
Emergency Contact Name
Emergency Contact Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Vet Name & Address
Vet Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Pet's Information
Pet's Name(s)
Please list a name for each pet that will be in my care
Pet's Age
Please list age for all pets if known
Pet's Breed
All breeds accepted!!
Good with cats?

Not Sure
Good with dogs?

Not Sure
Potty Trained?
Friendly with people?
Spayed or neutered?
Pet Care Information
Please list any information I need to care for your pet. Feeding Schedule, Medication, etc.
Payment Agreement
How will you be paying?
Liability Waiver

By sining below, I acknowledge and accept the terms and conditions of the liability waiver for pet daycare and boarding.

Liability wavier for Meleah's Pet Daycare & Overnight Boarding staff and Meleah Wilson:

I acknowledge that I am the legal owner or guardian of the above named pet(s) and herby authorize Meleah's Pet Daycare & Overnight Boarding and Meleah Wilson to provide care for my pet(s).

I understand that all reasonable precaustions will be taken to ensure the safety and well-being of my pet(s), but I agree to release,indemnify,and hold harmless Meleah's Pet Daycare & Overnight Boarrding staff and Meleah Wilson from any and all liability,claims,or damages arising from services rendered.

I have read and I understand this wavier and agree to it's terms.
I accept the terms of the liability wavier
Signature
Should be Empty:

Pet Daycare & Boarding Intake

Pet's Information