CLIENT AND PET PROFILE (revised 5-19-08)
Pet Owner Last Name: ________________________________________________________
Pet Owner First Name: ________________________________________________________
Mailing Address:____________________________________Apt # ____________________
City : ____________________ State : ______________________ Zip Code : _______-_____
Email Address: ___________________________________________________
Veterinarian:_________________________________ Vet Phone:___________________
Vaccinations MUST be up to date!! Please enter the date of last vaccination. ________
Pet’s Name:________________________ Pet’s Breed: ____________________________
Color of Pet:_______________________ Pet’s Birthday: _________ Male__Female__
HOW DID YOU HEAR ABOUT US? __________________________________________
SPECIAL ATTENTIONS
Is your pet under veterinary care for any problem or concern? Y / N
Please check the appropriate selection for your pet:
__ No Flea Dip __ Special Shampoo
__ Brush Burns Easily __ Recent Surgery (explain below)
__ Blind __ Deaf
__ Pregnant __ Epileptic
__ Diabetic __ Arthritic
__ Heart Condition __ Warts/Moles
__ Skin Problems __ Extreme Nervousness
__ Tooth Problems __ Other (explain below)
__ Please do not use my pet’s picture/image for advertising purposes.
YOUR PET’S PERSONALITY
__ Wetter/Submissive __ Very Shy
________________________________ Other
Please tell us ahead of time if there is anything we need to know about your pet’s personality, health, disposition, etc that may affect his performance at our grooming salon. We want your pet’s experience with us to be enjoyable, relaxing and fun.
