E- 2026 LDDC Pet Application

Pet Application

Application for daycare, boarding, and grooming services at Lucky Dogs Daycare.
Pet Owner Information
Owner 1 Name

First NameLast Name
Owner 2 Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState

Zip Code
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com

General Questions
Services Requested (Check all that apply):
Has your pet(s) been to our facility before?
Has your pet(s) been to other pet facilities before?
Does your pet(s) exhibit any concerning behavior we should be aware of?
Has your pet(s) been denied entry or suspended from our facility?
Has your pet(s) been denied entry or suspended from other pet facilities?

Emergency Information

Please ensure this information is accurate. If you need to update this information in the future please let a staff member know.
Emergency Contact(s)

Please list at least one alternate emergency contact. If we cannot get in contact with you in the event of an emergency.
Emergency Contact 1

First NameLast Name
EC 1: Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Emergency Contact 2

First NameLast Name
EC 2: Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Emergency Veterinarian Information

In the event of an emergency your pet will be brought to the following veterinarian clinic.
Northeast Veterinary Hospital

Address: 29 Lowell St. Peabody, MA. 01960

Phone: 978-538-3636
Emergency Consent Waiver

This section is to confirms that pet owner(s) give permission to the staff of Lucky Dogs Daycare to have the pet(s) listed within this application treated by a licensed animal veterinarian in the event of an emergency or illness while my pet is in the care of Lucky Dogs Daycare and its staff. I understand that I will be notified by a staff member in these instances. I also understand if I cannot be reached, a manager will make informed decisions with a licensed veterinarian to act in the best interest of my pet(s).

By signing below I acknowledge and understand the information pertaining to emergency treatment of my pet while it is attending LDDC.
Pet Owner Signature
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate

Standard Agreements

This is a standard agreement entered into between Lucky Dogs Daycare, hereafter referred to as LDDC, and the pet owner(s) named above for the pets contained within this application packet.
Pet owner hereby certifies and agrees that they have read and understand all the rules, policies and regulations set forth in the LDDC Services standard agreement document. By signing below, the pet owner agrees to abide and be bound by these rules, policies, and regulations.
Signature
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Should be Empty:

Pet Application

Pet Owner Information

General Questions

Emergency Information

Emergency Contact(s)

Emergency Veterinarian Information

Pet Information

Pet 1

Pet 2

Standard Agreements