For The Love Of Dog
Dog Day Camp & Boarding


Registration Form
Medical Release
Medical Release

2705 Kinney Road                         fortheloveofdog33@gmail.com
Coos Bay, OR 97420                         www.fortheloveofdog33.com
541-808-3108

 

In the unlikely event of an emergency, I give permission to For The Love Of Dog to seek services for my dog ____________________ at Hanson-Meekins Animal Hospital located at 45 Lockhart Ave, Coos Bay, OR 97420.

Phone: 541-269-2145

 

 

I understand that I will be responsible for any charges incurred.

 

 

_________________________         _______________________________
Name                                                 Signature 

 

Date:_____________________

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