New Client Form

New Client Form

Thank you for visiting El Segundo Pet Resort. We look forward to getting to know you and your pet. Please help us to provide the best care possible for your pet by taking a moment to fill out this form.

Client / Owner Information
Co-Owner/Emegency Contact Information
How did you hear about us?
Please tell us about your pet(s)
How much does your pet eat?
Medications
Please tell us about your pet(s)
How much does your pet eat?
Medications
Authorization

I certify that the above information is accurate to the best of my knowledge. I assume responsibility for all charges incurred in the care of this animal. I also understand that these charges must be paid in full, at the time of release of the pet.

I understand I must also fill out the AMG Pet Resort Standard Agreement and bring it with me at check-in.

By submitting this form, you accept the Mollom privacy policy.