Wet Noses Client Application Form

Welcome to Wet Noses!

A unique holistic canine retreat.
Tell us about yourself.

Please fill out our Client Application Form so we can get to know you.
Full name:*
Additional owner's name:
Please enter the names of your dog(s):*
Street Address:*
City:*
Province:*
Postal Code:*
Primary Phone number:*

Area CodePhone Number
Additional Phone number:

Area CodePhone Number
Email*
example@example.com
Additional Email
example@example.com
Emergency Contact:*
Emergency Contact phone*
Where did you hear about us?
What services and/or products are you interested in (so we can send more information on what we have to offer)?

BoardingGroomingTrainingDaycareOff Leash Park RentalsDock Diving/SwimmingAgility/Obedience/Field TrainingNatural Raw Food/Supplements/DeliveryProducts and ToysHolistic Vet Care/Acupuncture/Chiropractic/Chinese HerbsNon Sedation Dental Cleaning
In order to book any reservations or services, we do REQUIRE a valid credit card on file in advance. Please upload a photo of your credit card (we do not need the code on the back)*

Browse Files
VISA or MASTERCARD ONLY (Encrypted) Cancelof
We are grateful to be a part of your pets care. If you are not present to pay at the end of any service we have provided, upon check out, would you like to add a gratuity to your invoice we may note on your file? If so, indicate %*
Please select where you would like this gratuity applied:

Entire InvoiceSPAW ServicesBoardingFood DeliveryTaxi ServicesTrainingDay Care
In case of an Emergency, do we have your permission to give this credit card to our Veterinarian for treatment?*
DISCLOSURE: I understand and agree that by disclosing behavioural information about my dog(s). Wet Noses Inc. has full disclosure and therefore is ensured to the best of your knowledge that your dog(s) is/are in good health and has not harmed or shown aggression or threatening behaviour towards any person or any other dog.*

I AgreeI Disagree
Please explain the situation (if you Disagree) Keep in mind, this does not mean that we will not take your dog for services. We have your dog(s) best interest at heart. So beforehand, we may need to evaluate your dog for safety measures to ensure we are the best option for your dog.*
I understand and agree that I am solely responsible for any harm or damage caused by my dog(s) while he/she is at Wet Noses Inc, to the Property, other dogs or people. I also understand I am liable for my actions when dropping off or picking up my dog(s). I will follow instructions including checking in before bringing in my dog(s) and that they will be on leash and under my control at all times unless otherwise instructed.*

I understand
I understand and agree that Wet Noses Inc. and their staff will not be liable for any problems that develop, including loss, or any destruction of property and I hereby release them of any liability of any kind whatsoever.*

I understand
Do we have your permission to use pictures/videos of your dog(s) for our social medias. We would use your pets first name only*

Yes pleaseNo thanks
At Wet Noses, we have a talented team, who have worked in the Film Industry for decades searching for opportunities for dogs that may be able to work in Film (commercials, movies, series, etc) Wet Noses is always looking for talented dogs to be featured in Film. If this is something you would be interested in doing, please let us know.*

YesNo thanks
I understand and agree that any problems that develop with my dog(s) will be treated as deemed best by the staff of Wet Noses Inc. , in their sole discretion and that I assume full financial responsibility for any and all expenses involved including replacement of property and Vet care by a Vet of their choosing if required.*

I understand
I understand and agree that Wet Noses Inc. will not be held responsible and are not liable for any disease and/or pest (lice / tick / flea / virus) problems that may be contracted by my dog(s). I have consulted my Vet as my dog's primary health caregiver, and I hereby release Wet Noses Inc. of any liability of any kind whatsoever.*

I understand
I (print name clearly) * certify that I have read and understand all of the above and accept all the terms, conditions and statements of this agreement.
Signature*

Powered by Jotform SignClear
Date*

DayMonthYear
Should be Empty:

Welcome to Wet Noses!

Tell us about yourself.