Please update any of the following information for our records. This is done yearly to make sure your records are as up to date as possible. Date Owner Spouse / Other Street City State Zip Phone Email Primary Cell Other Cell Work Phone Current Cats That You Own Additional Comments or Notes about You or any of Your Cats Please Read Carefully Before Signing Kingstowne Cat Clinic has business and medical staffing hours as follows: 1. Monday and Thursday: 8:00 am to 7:00 pm 2. Tuesday, Wednesday, and Friday: 8:00 am to 6:00 pm 3. Weekends and Holidays: Closed Therefore, this is to inform you that we have no in-house, on duty continuous medical staff care on: a) Weekdays from Closing time until the following business day at 8:00 am. b) Weekends from Closing time on Fridays or Saturday (depending on the alternating weekend) until 8:00 am on the following Monday. c) Holidays from Closing time before the Holiday until the opening time the day after the Holiday *Signature: (Please type your name) Thank you for your cooperation! Kingstowne Cat Clinic