Client Application Form
Pet Information
Owner's Name
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Email
*
example@example.com
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Emergency Contact
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
How did you hear about us?
*
Dog's name
*
Which location would you prefer to bring your pet to?
Woodbridge(Jevlan & Weston Rd) Select Sunday & Monday appointments only
King City(King Rd & Doctor’s Ln) -Only accepting dogs up to 45lbs at this location
Sex
*
Male
Female
Is your dog Spayed/Neutered?
*
Yes
No
Not Yet, but will be in the future
Breed
*
Age
*
DOB
*
-
Day
-
Month
Year
Date
Vet or Clinic's Name
*
Phone Number
Is your pet up to date with all vaccinations?
*
Yes
No
Is your dog on flea and tick preventative? Please specify
*
Is your pet allergic to anything?
*
Yes
No
Is your pet on any medication?
*
Yes
No
Does your dog have any previous or existing injuries or medical history? Specify
Has your dog ever snapped, bitten or acted aggressively towards another dog or person?
*
Yes
No
Are you aware of any reason I should approach your dog with caution?
*
Yes
No
Please explain
May I give your dog treats?
*
Yes
No
Additional Information. Add here any special requests for the grooming process.
Please upload a picture of your dog
*
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