STEPH & FURRY CO.'s New Client or Info Change Form
CLIENT NAME
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First Name
Last Name
PET INFO: Name(s), dog/cat, breed, age, and weight.
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MALE/FEMALE. Intact (not fixed) or neutered/spayed (fixed).
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Intact male
Neutered male
Intact female
Spayed female
Has your pet ever been to daycare or boarded overnight before?
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Yes
No
If not, does your pet suffer from separation anxiety? Can he/she be left alone for any length of time?
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DOGS ONLY: Is your dog fully housebroken? (potty trained outside). Walks are scheduled 3x daily (approx. 7am, 2pm, and 9pm). Additional walks at an additional cost.
Yes
No
In Training
Uses pee pads or incontinence gear
Current bathroom + feeding routine at home. Provide measurements if applicable.
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Dog-friendly?
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Yes
No
Unsure/Depends
If you selected 'UNSURE/DEPENDS' above, please explain.
People-friendly?
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Yes
No
Depends
If you selected 'DEPENDS' above, please explain.
Up-to-date vaccinations (Rabies, DHPP)?
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Yes
No
Microchipped?
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Yes
No
Any training?
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Yes
No
In Training
List training techniques or commands you use with your pet.
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Medications?
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Yes
No
Any allergies or medical conditions?
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Any bahavioural issues including anxiety, barking, teething, resource guarding? DOGS ONLY: Any on-leash issues such as pulling, reactivity to people or animals, leash aggression?
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Vet information
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Vet insurance? If yes, provide details.
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PAYMENT METHODS:
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Cash
E-Transfer to stephandfurryco@outlook.com
Square (contact me for link) *$5 processing fee applies*
In-Person Square Tap on iPhone (Credit cards, Apple/Google Pay) *$5 processing fee applies*
Client Signature
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Submit
Submit
Should be Empty: