Client Information
Owner Name
First Name
Last Name
Email
example@example.com
Cell Phone Number
Please enter a valid phone number.
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Any special instructions for home address?
Example: Park on street, enter through side door.
Preferred method for updates during your pet care visit
Text
Phone Call
How many pets do you own?
Include number only.
Please list each of your pets below - name, type, and age.
Please complete one Pet Profile form per pet separately from this client form.
Emergency Contact #1
First Name
Last Name
Emergency Contact #1 Phone Number
Please enter a valid phone number.
Emergency Contact #2
First Name
Last Name
Emergency Contact #2 Phone Number
Please enter a valid phone number.
Veterinary Name
First Name
Last Name
Vet Location
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Vet Phone Number
Please enter a valid phone number.
Preferred Payment Method
Cash
Venmo
Venmo Account Name
With your permission, we would LOVE to share a photo or two of your pets and their first name on our social media pages after a service visit! Please note - for security reasons, photos will never include indications of owners address or owners name. I authorize Happy Tails Pet Services, LLC to use photos of my pets.
Yes - give them a moment of fame!
No - we're not keen on the paparazzi.
Submit
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