Whiskers and Paws LLC | New Client Registration Form

The form below is for new clients only. If you're already a client of Whiskers and Paws LLC, please click here to request an appointment.

Whiskers and Paws LLC New Client Registration Form

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Please complete the forms below to your fullest extent. We will contact you if additional information is required.

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: Has your pet ever been boarded overnight before?

Owner Question #2: Has your pet ever attended doggie daycare before?

Owner Question #3: Does your pet have separation anxiety? Nervous pees?

Pet #1 Information

Pet Name *Required*

Breed (Best Guess) *Required*

Sex *Required*

Color Description

Date of Birth

Whiskers and Paws LLC requires proof of vaccination.

Rabies Expiration

DPP Expiration

Bordetella 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: for cats only: FVRCP VACCINE date

Pet Question #2: Is your pet used to being around people outside of your family?

Pet Question #3: Is your pet a picky eater? Any food aggression?

Pet Question #4: Does your pet dig? toy possessive? chews anything/everything?

Pet Question #5: Does your pet try to escape (kennel, pen, leash)? Are they a high jumper?

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 leadwhiskerandpaw@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