Lucky Paws Pet Resort 2273 Lovi Road Freedom, PA 15042 Phone: 724-728-1484 Fax: 724-728-2295
	Pet Profile
How did you hear about us:
Owner information
Name:
Address:
City, State, Zip:
Home phone:
Cell phone:
Work phone:
Preferred:	Home PhoneCell PhoneWork Phone
Email address:
Second owner:
Pet information	Please submit a separate profile for each pet!
Name:
Type:	DogCat
Breed:
Color:
Markings:
Microchip ID#:
Sex:	Female  Male
Spayed/Neutered:	Yes  No
Weight:
Date of birth:
Emergency Contact	local
Name:
Relationship:
Phone:
Vet Information
Practice:
Doctor:
Phone:
Feeding Instructions
Name of food:
Amount per Serving:
How often:
Medications
Name of medication
Amount:
How often:
Instructions:
Behavior
Medical Problems:
Aggressive towards people:	Yes  No
Social with other dogs/cats:	Yes  No
Does you pet bite:	Yes  No
If yes, please clarify:
Chews blankets/bedding:	Yes  No
Fence climber or digger:	Yes  No
Favorite activity:
Fearful of anything:
Other:
Complimentary Bath	(Dogs only / stay of 3 nights or longer)
May we bathe your dog:	Yes  No
All-Natural Treats
May your pet have treats:	Yes  No