12246 42nd Street NE, St.Michael, MN 55376
Phone: 763-515-3724
Retail / Grooming
Monday – Saturday: 9am – 8pm & Sunday: 10am – 6pm

Daycare / Boarding
Monday – Saturday: 6:30am – 7:30pm & Sunday: 8am – 5:30pm
*Extra fee’s may apply for pick up/drop off times… see boarding tab.*

Registration Form

Please tell us about yourself and your pet. The more we know about your pet, the better we can care for him/her and make this a positive experience.

You can also print out and complete a Registration Form (PDF) and Agreement Form and bring these in to Lucky Pets.

Please fill out all the required fields before submitting your information.

Owner Information

 
1st Owner   First Name * Last name
Home # * Work # Ext
Cell # Email *
2nd Owner   First Name Last name
Home # Work # Ext
Cell # Email
Best way to contact you
Street Address        Apt #  
City / State / Zip
Referred by:
Emergency Contact ( other than owner )
First Name Last Name
Home # Work # Ext
Cell # Email
Please list the name(s) of people authorized to drop-off/pick-up your dog:
 

Pet Information

Dog      Cat
Pet's Name     
Breed      Male Female Weight ( lbs )    
Color Markings     
Has Microchip      Yes    No Has Tattoo      Yes    No
Birthdate      Spay    Neuter    Intact
Boarding Preference:      Traditional    Semi-Private    Private
Veterinarian
Clinic     
Phone #     
Address     
Diet
Food Type      Dry    Wet Brand / Variety      
Serving Size            Frequency            Other   
Medication ( Must be in original containers Prescribed by Doctor )
Prescribed for:              Prescription No:     
Drug:            Strength:           Frequency:   
Expiration:    Physician:   
Vaccinations / Dates Due
Required: Rabies, Distemper, and Bordetella ( Bordetella not necessary for grooming ). We require proof of vacinations before pets are on site for Daycare, Boarding or Grooming. Proof can be sent via Fax, Email, Mail or dropped off. Agreements must be original signatures. Must be administered prior to the last 7 days and/or during the past 11 months (or 3yr shots).
Dogs     Distemper            Rabies          Bordetella  
Cats     Fe.Leuk.           Rabies          Distemper  
Has your pet ever attended daycare or boarded before? Yes    No
Location:   
Positives:  
Negatives:  
Obedience Training:      Yes    No Where:  
Commands:          Sit    Down    Stay    Come    Off    Okay    Go Outside    Go Potty    Leave it
What kind of games does your dog like to play with people?
What kind of games does your dog like to play with other dogs?
Behavior / Personality ( Choose all that apply )
Separation anxiety Toy/Food possession Sensitive to touch
Excessive barking Not house trained Coprophagia ( eats stool )
Digs under fences Jumping Destructive chewing ( bedding )
Is your dog aggressive with: Food    Toys    People    Kennels    Leash    Large Dogs    Small Dogs
Fear of: Men    Women    Children    Thunder    Loud Noise
Other problem areas ( Please describe )
Additional information or special needs that your pet has that might be helpful to know so your pet's experience at Lucky Pets is the best possible?
Grooming       Yes No
How does your pet react to being bathed?
How does your pet react to having nails trimmed?
Likes to be brushed?         Yes No
Any sensitive areas on body?         Yes No       If yes, where?     


* I HAVE READ AND FULLY UNDERSTAND THE TERMS OF THE POLICIES, PROCEDURES AND RELEASE, WAIVER OF LIABILITY, ASSUMPTION OF RISK AND INDEMNITY AGREEMENT, UNDERSTAND ITS TERMS AND CONDITIONS, AND PRINTED A COPY FOR MY RECORDS.