New Client App

Owner's First Name *

Owner's Last Name: *

Address: *

City: *

State: *

Zip Code: *

Home Phone #: *

Cell Phone #: *

Email Address: *

Referred By: *

Pet #1 Name: *

Species: *

Breed: *

Color *

Sex: *

Spayed/Neutered: *

Birthdate: *

Weight: *

When did you get your pet? *

Where did you get your pet? *

Name of breeder, shelter, rescue, friend: *

Veterinarian or Clinic Name: *

Pet #2 Name:

Species:

Breed:

Color

Sex:

Spayed/Neutered:

Birthdate:

Weight:

When did you get your pet?

Where did you get your pet?

Name of breeder, shelter, rescue, friend:

Veterinarian or Clinic Name:

Please list any health conditions/concerns: *

Are your pets currently on any medications? If so, please list: *

Have your dogs ever jumped or climbed a fence? If yes, please explain: *

Have your dogs ever growled, snapped at, or bitten a person? If yes, please explain: *

Have your pets ever been boarded before? If so, when and where? *

Are your pets scared of thunderstorms? If so, what do you do to help? *

In the event of an emergency, are your pets able to be crated? Have they ever been crated before? *

What types of accommodations are you interested in - Please note: all prices are per day for one pet: *

If you have 2 dogs, do you want them to share (at our discretion)? *

Requested dates for first reservation (for grooming, choose the same arrival & departure dates):

Requested drop-off date: * +

Requested drop-off time: *

Requested pick-up date: * +

Requested pick-up time: *

How would you prefer we confirm your reservation? *

Our next step is to contact your veterinarian to confirm your pet's vaccinations. Checking this box gives us permission to request those records: *

Please contact my veterinarian for my pet's vaccine records.