Thank you for choosing Harness the Fur for all your dog grooming needs! If you have multiple dogs, please complete a seperate form for each dog. For subsequent forms, you may write "same" where applicable for repeated information if you would like. Thank you!
Client Name (Last, First):
*
Home/Cell #:
*
Email
*
example@example.com
Other
Address:
*
Address
Street Address Line 2
City
State / Province
Zip
Pets Name:
*
Breed:
*
Birthdate (MM-DD-YYYY):
*
Weight:
*
Color/Markings:
*
Gender:
*
Please Select
Male
Female
Neutered/Spayed:
*
Please Select
Yes
No
Rabies Expiration:
Proof of Rabies Vaccination:
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I will need this before I can start the first groom. If it is easier to provide a physical copy at the first appoinement, that will be accepted as well.
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In case of an emergency contact other than self:
*
Phone #:
*
Veterinarian Clinic:
*
Veterinarian Phone #
*
Medication: Is your dog on any medications? If yes, please list and describe the medications and reason for taking them:
*
Traits: Please answer the following brief questionnaire about your dog. This will help us to better care for him/her:
*
Yes
No
Is friendly with other dogs
Likes new adults
Likes children
Is fearful of the vaccuum or other loud noise
Has bitten people
Has shown other aggression
Has been professionally groomed
Can have a bandana or bows
Please indicate anything else about your dog's habits, behavior, or medical conditions that would be useful to us in providing care:
*
I
have answered the above questions truthfully to the best of my knowledge.
Pet Owner Signature
*
Date
*
/
Month
/
Day
Year
Date
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