Lucky Puppy Contract Jump to the bottom of page
Personal Information
First Name:Last Name:
Home Address:City:
State:Zip Code:
Home Phone:Work Phone:
Cell Phone:E-mail address:
>
How did you find us?  
Local Veterinarian:
Vet's Name:                 Vet's Address:  
Vet's Telephone:           
Local Emergency Contacts:
Please list three local emergency contacts in the order we should contact in case of emergency:
Name#1:                       
Telephone:                     
Relationship:                   Has a Key?  
Name#2:                       
Telephone:                     
Relationship:                   Has a Key?  
Name#3:                       
Telephone:                     
Relationship:                   Has a Key?  
Should we be expecting anyone in your home during your absence? If Yes, who?
Who shall I contact for a major house problem?: (check all that apply) Family/Friend Plumber Electrician Other
Will we be keeping a permanent copy of your key? Choose door of entry 
To be locked 
Vacation Care Clients
(Please make sure to fill out a "Permission To Enter" form with your management office. You should list Lucky Puppy, LLC as authorized to enter on this form before leaving for your trip):
Bring in Mail  Mailbox Location
Bring in packages Bring in Newspaper
Number of visits per day?
First Pet
Name of Pet #1
Species
Male or Female?  
Breed
Color?
Description/Distinguishing Features?
Exact Birthday?
Favorite Toy/Treat
Feeding Instructions (amount, time of day, vitamins, etc.)
Walking instructions
Commands/Tricks my pet knows Sit Stay Down Heel
Other Commands
Special Handling (Ex: medication,special quirks, medical conditions, hiding places, fears/phobias, etc.)
This pet loves to
This pet hates to
Only one pet? Skip to the next section
Second Pet
Name of Pet #2
Species
Male or Female?  
Breed
Color?
Description/Distinguishing Features?
Date of Birth?
Favorite Toy/Treat
Feeding Instructions (amount, time of day, vitamins, etc.)
Walking instructions
Commands/Tricks my pet knows Sit Stay Down Heel
Other Commands
Special Handling (Ex: medication,special quirks, medical conditions, hiding places, fears/phobias, etc.)
This pet loves to
This pet hates to
Only two pets? Skip to the next section
Third Pet
Name of Pet #3
Species
Male or Female?  
Breed
Color?
Description/Distinguishing Features?
Age/Birthday?
Favorite Toy/Treat
Feeding Instructions (amount, time of day, vitamins, etc.)
Walking instructions
Commands/Tricks my pet knows Sit Stay Down Heel
Other Commands
Special Handling (Ex: medication,special quirks, medical conditions, hiding places, fears/phobias, etc.)
This pet loves to
This pet hates to
Supply Location:Please tell us where you will keep the following items during our visits and any applicable instructions?
Leash
 Crate
 Treats
 Food
Food Bowl
 Medication
 Litterbox
 Cat Litter
Pet Carriers
 Pet Waste Disposal
 Carpet Cleaner
 Paper Towels
Vacuum
 Broom/Dustpan
 Extra Light Bulbs
 Towels to wipe pet if raining
Thermostat location
 Fire Extinguisher


Indoor Plant Directions(when to water, how much, location of plants, etc.


Do you authorize Lucky Puppy, LLC to place your pet’s picture on its website?  

Please print and sign this contract for your records before submitting,
Thank You.Signature___________________Date:___________   

You may also fill out, print and fax this contract to:800-922-2836
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