New Client Application

Dog's Name

Breed

Gender

Weight

Fixed /Neutered?

Yes

No

Birthday

Month

Day

Year

Vet Name

Vet Phone Number

Vet Address

Does your dog socialize well with other dogs?

Yes

No

How would you describe your dog's social skills and temperament? Are they playful, shy, or nervous?

Does your dog regularly interact with others, through activities like walks, dog parks, or daycare?

How does your dog behave around other dogs, people, and children?

Are there any habits or behaviors we should be aware of, such as trash diving, chewing, barking, or other mischief?

Does your dog exhibit any specific behavioral issues, such as aggression, separation anxiety, or fear of loud noises? Please provide details.

Health & Medical Issues

Medical Emergency Contact

Vaccinations

In Nassau County, the only required vaccination is for Rabies. We do not discriminate based on vaccination status. However, we reserve the right to refuse service if your pet appears unhealthy and may require written approval from your veterinarian before grooming.

Vaccine document (Image, Word or PDF)

When was your dog last groomed?

How often do you brush?

Coat Condition

Please list any preferences you have for your pet’s grooming, such as avoiding scents, accessories or things they may be allergic to.

Is there anything we've missed? Please let us know what other information you would like to share about your pup!

Your Information

Name

Your Phone Number

Email

Address

Pickup Contact