Client Form — Le Bow Wow Club

Client Information Form

This form is for first-time clients who have a confirmed appointment with Le Bow Wow Club. Please complete this before your pet’s first appointment either online or by printing out/emailing the PDF version.

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Date

YYYY

Owner's Name

First Name

Last Name

Address

City / Zip

Phone

(###)

###

####

Pet Information

Pet's Name

Breed

Age

Sex

Pet's Name

Breed

Age

Sex

Pet Health Information

Veterinarian's Name

Is your dog up to date on all vaccinations, including rabies?

If yes, when were they vaccinated?

YYYY

Please list any of your pet's health issues:

Grooming Information

Date of pet's last groom

YYYY

How often do you have your pet groomed?

Pet's temperament

Please include any prior issues with grooming or concerns you may have:

Please indicate if you would like your pet to receive the following services:

Anal glands expressed

Teeth cleaning (additional $3)

Other

How did you hear about Le Bow Wow Club?

Do you grant permission for Le Bow Wow Club to use your pet's photos on the website/social media?

Client Information Form

Le Bow Wow Club, inc.