Your Pet is important to us!  Because we care, we want to assure you that every effort will be taken to make your pet's visit as pleasant as possible!  The Paw Spa is committed to the highest standard of animal care and will not knowingly perform service on any sick or injured pet or any pet whose vaccinations are not current.  This is a contract between The Paw Spa and the pet owner whose signature appears on this form, herein called the owner.

www.pawspapetgrooming.com

GUARDIAN INFORMATION:

First Name: Last Name:

Address:

City: State: Zip Code:

Home Phone: Cell: Work:

E-Mail Address (for newsletter & appt. reminders)

Emergency Contact Person Phone:

 

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PET INFORMATION:

Pet Name: Breed Dog Cat

Color:Birthday:Age:

Sex:Male or FemaleSpayed or NeuteredWeight:

Does your pet exhibit aggressive behavior towards:People: Yes or NoOther pets: Yes or No

 

MEDICAL CONDITIONS, SPECIAL NEEDS, ALLERGIES AND DIETARY RESTRICTIONS:

VETERINARIAN INFORMATION:

Veterinarian Name:Phone Number:

Clinic Name:Date of last visit:

I attest that I maintain all current vaccinations (Rabies, DHLP,Bordetelle)

 

REFERRAL INFORMATION:

How did you hear about The Paw Spa?Recommendation or Advertisement

Referred by: