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Critter Care Animal Hospital Client Registration Form
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Owner's full name:
Full Address (Street, City, State, Zip Code):
Home Phone Number:
Cell Phone Number:
Work Phone Number:
Name of Spouse & phone number:
Which number would you prefer to be listed as the primary contact number?
In case of an emergency, please call:
How did you learn about our facility?
Drive by location
If you were referred, please name the individual or business so we may thank them.
Do we have your consent to post pictures of your pet(s) to our social media platforms?
My typed initials below indicate that I assume responsibility for all charges incurred in the care of my animal(s). I understand that these charges will be paid at the time of release or as services are rendered and that a deposit may be required for surgical treatment. I realize that for any appointments or scheduled procedures for which I do not show up with my pet and do not call to cancel, that I may be charged as much as the actual cost of the scheduled appointment or procedure.
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