Register Your Pet With Us | Lime Trees Vets

Clinic Details

Preferred Clinic*

Owner Details

Name

Title First Last

Name and pet name of referring friend (Refer a Friend promo only)

Address

Street Address Address Line 2 City County Postcode

Owner Details

Home*

Contact Numbers We require a Home and Mobile number

Mobile*

Work

Other

Email*

Pet Details 1

One pet is required to submit the form. Please ensure you complete all relevant fields as subsequent pets will not be retrieved in the event of a submission error.

Pet Name 1*

Species*

Breed*

Colouring*

Markings*

Gender*

Male
Female

Neutered*

Yes
No
Don't Know

Date of Birth*

Insured*

Yes
No

Previous Vets

Please check that you have entered all required fields correctly before adding another pet.

Pet Details 2

One pet is required to submit the form. Please ensure you complete all relevant fields as subsequent pets will not be retrieved in the event of a submission error.

Pet Name 2

Species

Breed

Colouring

Markings

Gender

Male
Female

Neutered

Yes
No
Don't Know

Date of Birth

Insured

Yes
No

Previous Vets

Please check that you have entered all required fields correctly before adding another pet.

Notes/Comments

How did you hear about us?