The form below is for new clients only. If you're already a client of Soul Train Animal Care, please click here to request an appointment.

Soul Train Animal Care New Client Registration Form

To prove you're a real person (and not a SPAM bot), please check the I'm not a robot box below.

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Please fill out the form below. We will email you a waiver to e-Sign once we receive your information.

Important: In addition to the online form below, please print the following PDF document and bring it to your first appointment: Click to Print

Owner Information

First Name *Required*

Last Name *Required*

Phone Number *Required*

Email *Required*

Address

City

State | Province

Zip Code | Postal Code

Family Vet Clinic

How did you find us?

Emergency Contact (Include Phone Number)/Others Allowed to Pick Up

Owner Question #1: Are you interested in 1:1 sessions,low stress nail trims, or group classes?

Owner Question #2: Do you understand that insect & illness prevention is your responsibility?

Owner Question #3: It says click to print but we can do this for you. Did you read it though?

Pet #1 Information

Pet Name *Required*

Breed (Best Guess) *Required*

Sex *Required*

Color Description

Date of Birth

Soul Train Animal Care requires proof of vaccination.

Rabies Expiration

DPP (Parvo & Distemper) Expiration

Bordetella (Recommended but not required due to low risk environment) Expiration

Vaccine #4 Expiration

Vaccine #5 Expiration

Microchip Code

Weight

Insurance Info

Feeding Notes

Medication Notes

Temperament Notes (Aggression, anxiety, etc? If extensive, tell us in person).

Additional Notes (Anything else we should know? If extensive, tell us in person.)

Pet Question #1: Do they have any allergies?

Pet Question #2: Do they have any medical condition we should know of? (Injury/seizures)

Mobile Phone Alert: Some phones have difficulty uploading the files below (the form gets reset after uploading). If this happens on your phone, please submit this form using a computer. You can also submit this form on your phone without uploading anything and then email your pet picture and vaccine verification document to us at soultrainholistic@gmail.com. Thanks!

Pet Photo (Not Required. 5MB Max. Image Files Only)
Click to Upload Pet Picture

Proof of Vaccinations (5MB Max. Only Images, No PDFs. Take a Picture of Document with Your Phone and Upload It.)

Click to Upload a Picture of Proof of Vaccinations

Click Here to Add a Second Pet

Click Here to Add a Third Pet

ALERT: If you have more than three pets, submit this form once with your first three pets. After submitting the first time, click the link to come back to the form (shown after you submit the form) and fill out this form again with the information for your other pets. The second time you fill it out, you only need to include your name, phone and email in the OWNER section because the business will already have the other info (address, emergency contact, etc) from the first time you submitted the form.

Pet #3 Information