Record Card
Your Name
*
Phone Number
*
Please enter a valid phone number.
Format: 00000 000000.
Email
*
example@example.com
Address
*
Vet Practice (please include a phone number and address if possible)
*
Pet's Name
*
Breed
*
Age
*
Gender
*
Male
Female
Is Your Pet Spayed/Neutered?
*
Yes
No
Is Your Pet Microchipped?
*
Yes
No
Are Your Pet's Vaccinations Up To Date?
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
What Is Your Pet's Temperament?
*
What Is Your Grooming Preference?
*
Does Your Pet Have Any Medical Conditions? (e.g. any ill health, allergies/sensitivities etc)
*
Can Your Pet Be Given Treats? (Please feel free to bring treats that you know your dog likes)
*
Is There Anything Else You Think We Should Know?
Please Upload a Current Photo of Your Pet.
Browse Files
Drag and drop files here
Choose a file
If you wish to do so :)
Cancel
of
By signing this record card, I understand the above-named pet(s) will be treated with the utmost loving care and attention in this establishment. I leave my pet(s) at my own risk I understand that in an emergency should a vet be required at any time during the grooming process that the cost incurred will be payable by me. I also understand that, if my pet's coat is matted, this establishment is not responsible for my pet’s skin condition. I have read, understand and agree to these terms.
*
I Agree To All The Terms Listed
Signature
Continue
Continue
Should be Empty: