Countryside KennelsĀ 507 645-5051, 8300 Baldwin Ave, Northfield, MN 55057

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

New Client Form
You will have a chance to list multiple pets below
Please use the space to list the name of the pet, what kind of an animal it is (dog, cat, mouse, parrot, etc.), what gender it is, how old it is, and any medical conditions that it currently has or that you would like us to treat.

By hitting submit below, I acknowledge that I am at least 18 years of age, that I am authorized to make medical decisions for the pets listed above and that I assume all financial responsibility for the charges attributed to the care of the pets listed above. I understand that payment is due upon the receipt of services and that any outstanding balances are subject to a monthly finance and administrative charges.