Please Delete As Appropriate for the Following

Registration form

Owner’s Name(s):

Owner’s Address:

Owner’s Email:

Owner’s Contact Number(s):

Emergency telephone numbers:

Vet’s Name:

Vet’s Address:

Vet’s Contact Number:

Pet’s Name / Species / Breed / Colour / Age
Microchip / Medication / Insurance / Diet / Extras

Please delete as appropriate for the following:

In the unlikely event off your pet needing vet treatment I give my permission for

Smoobles pet services to sign for any treatment needed and understand that all

vet fees are my responsibility and not that of Smoobles pet services. Yes/No

My pets are all up to date with Vaccines and parasite control. Yes/No

Kennels cough vaccine (this is recommended as your dog will be coming into

contact with other dogs). Yes/No

I give Smoobles permission to walk my dog off lead. Yes/No

I give Smoobles permission to care for my Pets. Yes/No

Owners Signature: Date: