New Client?
Let's set up your pet with a service! Fill out the New Client form (link & text below) and email to gvoelker095@gmail.com. I look forward to meeting you and your pets!
*Date: ___________ *Owner name: ____________________________
*Phone: _______________ *Email: ________________________
*Address: ____________________________________________________________________
*Best way to contact you?__________ *Emergency contact: ___________________________
*Are you able to travel to Cassadaga, NY area if necessary? __________
*Vet # __________________________
*Services Most Interested in:
______________________________________________________________
*How did you find me? _______________________________
*Pet name: __________________________
*Species/Breed: ___________________________ *Age: ________ * Sex: ___ * Fixed?: ____
*Housetrained?: ______ *Microchipped? ________________________________________
Where/How did you obtain pet?: _________________________________________________
*Up-to-date on::
DOG:
Rabies _____ Distemper/Parvo ______ Bordetella ______ Heartworm_____
CAT:
Rabies______ Leukemia/Distemper _____
*Medical issues/allergies:
________________________________________________________
*Medications (include flea/tick):
____________________________________________________________________________
*My pet’s personality:
____________________________________________________________________________
*Pet’s favorite toys, treats, things to do:
____________________________________________________________________________
____________________________________________________________________________
Any past training? If so, what kind?
____________________________________________________________________________
My pet gets exercise ____________________________ (how long/often) by
____________________________________________________________________________
How is your pet on walks? ____________________________________________________________________________________
My pet is ______________________around people.
My pet is ______________________around children.
My pet is ______________________around dogs.
My pet is _____________________ around prey animals (birds, squirrels).
My pet is _____________________ around cats
My pet has shown aggressive tendencies other than barking or hissing (threatening displays, resource guarding, bite attempts): _____ If Yes, explain:
____________________________________________________________________________
____________________________________________________________________________
**My pet has bitten another person or animal: ____ If Yes, explain:
____________________________________________________________________________
____________________________________________________________________________
Feeding instructions:
____________________________________________________________________________
__________________________________________________________________________
Anything else you'd like me to know about your pet?
____________________________________________________________________________
____________________________________________________________________________
*___ I consent to picture updates being taken of my pet and sent to the phone number listed
*___ I consent to pictures of my pet potentially being used in advertising/marketing (ie website,
facebook)
Credit card:
___________________________ exp _________ cvv _______
**Card would only be used in case of vet emergency and you would be consulted with
beforehand**
*Owner signature: _____________________________Date: ____________
Thank you for taking the time to fill this out! I look forward to working with you and your
furbabies!
IF REQUESTING TRAINING:
Things I’d like to work on with my pet:
____________________________________________________________________________
____________________________________________________________________________
Current training methods/tools/etc
____________________________________________________________________________
____________________________________________________________________________
My pet’s favorite food reward: _______________________
My pet’s favorite NON food reward: ____________________
Our favorite thing to do together: ______________________________________
List any other pets in the home:
____________________________________________________________________________
____________________________________________________________________________
List any other family members in the home along with ages:
______________________________________________________________________________________________________________________________________________________
What past training was helpful and what wasn't?_______________________
**If the above link isn't compatible with your device, you may copy/paste the text below into a document.

*Please email completed form to gvoelker095@gmail.com. Thank you!*