Laurel HIll Kennels
1214 Glatco Lodge Rd Hanover, PA. 17331
(717) 632-1440 www.laurelhillkennels.com
Business Hours
Monday - Friday 8-10 AM & 4-6 PM
Every Saturday 8-10 AM // June - August also 4-6 PM
Sunday 8-9 AM & 4-6 PM
Office CLOSED on Major Holidays
Owner’s Name(s)______________________________________________________________________________
Address______________________________________________________________________________________
Phone Number #1_____________________________ Phone Number #2_________________________________
Email Address(es)______________________________________________________________________________
Pet Name(s)_________________________________________________ Dog___________ Cat_______________
Date(s) of Birth_________________________ Breed______________________ Color________________________
Circle one: Neutered Male Male Spayed Female Female
Regular Veterinary Practice or Veterinarian: __________________________________________________________
Feeding Instructions: ( time of day, type of food, how much)
Medications to be given:
Special problems we should watch for:
Emergency phone number where owner can be reached or name and number of someone who could make a medical decision for the pet
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Signature and Date: