Owner Name

Owner Email

Emergency Contact Name

The emergency contact must be someone different than the Owner. Someone that we could call during an emergency situation if the owner is unreachable.

Pet One Name

Breed

Weight

Pet One Service Requested

Pet One Rabies

Lucky's Paw Playhouse requires all dogs be up to date on rabies, distemper and bordatella. Please list each dog's most recent rabies, distemper, and bordatella vaccination dates.

Pet One Distemper

Pet One Bordatella

Pet Two Name

Breed

Weight

Pet Two Services Requested

Pet Two Rabies

Lucky's Paw Playhouse requires all dogs be up to date on rabies, distemper and bordatella. Please list each dog's most recent rabies, distemper, and bordatella vaccination dates.

Pet Two Distemper

Pet Two Bordatella

Pet Three Name

Breed

Weight

Pet Three Services Requested

Pet Three Rabies

Lucky's Paw Playhouse requires all dogs be up to date on rabies, distemper and bordatella. Please list each dog's most recent rabies, distemper, and bordatella vaccination dates.

Pet #Three Distemper

Pet Three Bordatella

Veterinarian

Veterinarian Phone Number

Text Please list your dog's flea and tick preventative medication type and frequency:

Lucky's Paw Playhouse requires all dogs be up to date on flea and tick preventative.

How does your dog react to grooming and groomers?

If yes, please describe the situation and when it occurred.

Anything else you would like to tell us about your dog?

Requested Dates

Please tell us how you heard about us.

MAKE A RESERVATION WITH ANJA

16776 Fitzhugh Road | Dripping Springs, Texas | 78620 | 512.291.3433 | info@LuckysPawPlayhouse.com

GROOMING REGISTRATION

MAKE A RESERVATION WITH ANJA