In order for us to provide the best experience and care possible for your dog while in Willow Creek Pet Center's Stay N Play please provide us with the following information.
Name of Dog:
Has your dog been spayed or neutered? YesNo
Previous injuries (fractures/knee surgery)
Are there any other medical conditions?
I understand that by signing this form I have informed Willow Creek Pet Center of ALL medical conditions and medications related to my dog. I understand that by allowing my dog to participate and attend Stay N Play there is an increased risk related to medical conditions and medication that could include illness, injury or death. I understand that by signing this form I release Willow Creek Pet Center and all of its associates from any liability if my pet becomes ill, injured or dies from complications related to their known and unknown medical conditions while participating in and attending Stay N Play.
Date: JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember ,
December 13, 2017, Willow Creek Pet Center