New Pet Form

Owner's Full Name*

Email*

example@example.com

Phone Number*

Please enter a valid phone number.Format: (000) 000-0000.

Alternative Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Names

Address*

Pet's Name*

Pet's Breed*

Pet's Gender*

Pet's Weight*

Pet's Age / DOB*

Pet's Color*

Veterinarian*

Rabies Due Date

DHLP Due Date

Bordetella Due Date

Please Upload Your Pet's Vaccination Records

You can include up 5 pet's records . 15 MB Max file size

Does your pet have any medical, physical, emotional, allergy, sensitivity, or pre-existing conditions? These may include prior surgeries, hip/joint issues, warts, moles, ear infections, or skin problems.*

YesNo

If Yes, Please Explain

Has your pet ever been aggressive toward or bit a groomer, other people, or other dogs?*

YesNo

If yes, Please explain

Do you have any additional pets you would like to add?*

YesNo

Additional Pet's Name*

Additional Pet's Breed*

Additional Pet's Gender*

Additional Pet's Weight*

Additional Pet's Age / DOB*

Additional Pet's Color*

Additional Pet's Veterinarian*

Additional Pet's Rabies Due Date

Additional Pet's DHLP Due Date

Additional Pet's Bordetella Due Date

Does your additional pet have any medical, physical, emotional, allergy, sensitivity, or pre-existing conditions? These may include prior surgeries, hip/joint issues, warts, moles, ear infections, or skin problems.*

YesNo

If yes, please explain regarding your additional pet.

Has your additional pet ever been aggressive toward or bit a groomer, other people, or other dogs?*

YesNo

If yes, please explain regarding your additional pet.

Do you have another additional pet you would like to add?

YesNo

2nd Additional Pet's Name*

2nd Additional Pet's Breed*

2nd Additional Pet's Gender*

2nd Additional Pet's Weight*

2nd Additional Pet's Age / DOB*

2nd Additional Pet's Color*

2nd Additional Pet's Veterinarian*

2nd Additional Pet's Rabies Due Date

2nd Additional Pet's DHLP Due Date

2nd Additional Pet's Bordetella Due Date

Does your 2nd additional pet have any medical, physical, emotional, allergy, sensitivity, or pre-existing conditions? These may include prior surgeries, hip/joint issues, warts, moles, ear infections, or skin problems.*

YesNo

If yes, please explain regarding your additional pet.

Has your 2nd additional pet ever been aggressive toward or bit a groomer, other people, or other dogs?*

YesNo

If yes, Please explain

Do you have another additional pet you would like to add?

YesNo

3rd Additional Pet's Name*

3rd Additional Pet's Breed*

3rd Additional Pet's Gender*

3rd Additional Pet's Weight*

3rd Additional Pet's Age / DOB*

3rd Additional Pet's Color*

3rd Additional Pet's Veterinarian*

3rd Additional Pet's Rabies Due Date

3rd Additional Pet's DHLP Due Date

3rd Additional Pet's Bordetella Due Date

Does your 3rd additional pet have any medical, physical, emotional, allergy, sensitivity, or pre-existing conditions? These may include prior surgeries, hip/joint issues, warts, moles, ear infections, or skin problems.*

YesNo

If yes, please explain regarding your additional pet.

Has your 3rd additional pet ever been aggressive toward or bit a groomer, other people, or other dogs?*

YesNo

If yes, Please explain

Do you have another additional pet you would like to add?

YesNo

4th Additional Pet's Name*

4th Additional Pet's Breed*

4th Additional Pet's Gender*

4th Additional Pet's Weight*

4th Additional Pet's Age / DOB*

4th Additional Pet's Color*

4th Additional Pet's Veterinarian*

4th Additional Pet's Rabies Due Date

4th Additional Pet's DHLP Due Date

4th Additional Pet's Bordetella Due Date

Does your 4th additional pet have any medical, physical, emotional, allergy, sensitivity, or pre-existing conditions? These may include prior surgeries, hip/joint issues, warts, moles, ear infections, or skin problems.*

YesNo

If yes, please explain regarding your additional pet.

Has your 4th additional pet ever been aggressive toward or bit a groomer, other people, or other dogs?*

YesNo

If yes, Please explain

Do you have another additional pet you would like to add?

YesNo

5th Additional Pet's Name*

5th Additional Pet's Breed*

5th Additional Pet's Gender*

5th Additional Pet's Weight*

5th Additional Pet's Age / DOB*

5th Additional Pet's Color*

5th Additional Pet's Veterinarian*

5th Additional Pet's Rabies Due Date

5th Additional Pet's DHLP Due Date

5th Additional Pet's Bordetella Due Date

Does your 5th additional pet have any medical, physical, emotional, allergy, sensitivity, or pre-existing conditions? These may include prior surgeries, hip/joint issues, warts, moles, ear infections, or skin problems.*

YesNo

If yes, please explain regarding your additional pet.

Has your 5th additional pet ever been aggressive toward or bit a groomer, other people, or other dogs?*

YesNo

If yes, Please explain

How did you hear about us?

Your pet may be photographed for social media.

Your pet may be photographed for social media. Would you like to add your Social Media links so that we may tag you in photos of your pet(s)?

YesNo

Please add your Social Media links below*

Is it ok to send you our quarterly newsletter?*

YesNo

I hereby give consent to Green Dog Spa to groom my pet and acknowledge that I have completed this form with accuracy*

Yes

Signature*

Pet's Information

Pet's Medical

Additional Pets?

Green Dog Spa Policies for Client Services