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Step 1 of 4 - Client Information
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Name
*
Address
*
Address Line 2
City
*
State
*
Alabama
Alaska
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California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
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Louisiana
Maine
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Massachusetts
Michigan
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Mississippi
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New Jersey
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New York
North Carolina
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Ohio
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Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
Zip Code
*
Home Phone
Mobile Phone
*
Email
*
Emergency Contact Name and Information
*
Do you live in a gated community?
*
Yes
No
How can the stylist gain access?
*
Are there any restricted parking areas?
*
Yes
No
Please provide parking information
*
Where will your pet be located if you are not home?
**If no one will be home, MetroHound requires all pets to be in a secured, enclosed location where the stylist can easily access them.**
May we post your pet's picture on our website, social media or review sites?
*
Yes
No
How did you hear about our service?
If by referral, who can we thank?
Is your pet a dog or a cat?
*
Dog
Cat
Both
Dog's name
*
Gender
*
Male
Female
Weight (lbs)
*
Color
Breed
*
Spayed / Neutered
*
Yes
No
Age
*
When is your dog's birthday?
Month
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1922
1921
1920
An estimate is fine.
What veterinary clinic do you use?
*
Doctor Name:
*
Doctor Phone Number
*
Date of last rabies vaccination
*
Month
1
2
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1928
1927
1926
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1923
1922
1921
1920
Please list the brand(s) of flea+tick preventives:
**MetroHound reserves the right to treat your pet with CAPSTAR if signs of fleas are found on your dog before, during, or after your grooming. Your dog will also receive a flea bath which will incur additional charges**
Is your dog currently taking any medications?
*
Yes
No
Please list the medications and the reasons they are being taken:
*
Does your dog have any current or past medical conditions?
*
Yes
No
Please list the medical conditions:
*
Has your dog had any past surgeries?
*
Yes
No
Please list the surgeries:
*
Does your dog have any allergies?
*
Yes
No
Please list the allergies:
*
Is your dog taking allergy injections?
*
Yes
No
How often is your dog taking allergy injections?
*
Please list any injuries, sore spots, moles, warts, or lesions that we need to be aware of:
*
Does your dog get frightened in any particular situation? If so, please explain:
*
Has there ever been any part of the styling process your dog was not fond of? If so, please explain:
*
Has your dog ever bitten anyone?
*
Yes
No
Please explain what happened:
*
Is your dog blind or deaf?
*
No
Blind
Deaf
Deaf and Blind
Cat's name
*
Gender
*
Male
Female
Weight (lbs)
*
Color
Is your cat long or short haired?
*
Long Haired
Short Haired
Age
*
When is your cat's birthday?
Month
1
2
3
4
5
6
7
8
9
10
11
12
Day
1
2
3
4
5
6
7
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11
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31
Year
2025
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2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
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1995
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1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
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1974
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1972
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1952
1951
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1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
An estimate is fine.
Breed
*
Is your cat declawed?
*
Yes
No
**MetroHound requires all cats to to be in a carrier from the home to the salon. Please let us know if you would like us to provide a carrier BEFORE our visit**
Which paws?
*
Have you ever used soft claws before?
*
Yes
No
Is your cat indoor or outdoor?
*
Indoor Only
Indour/Outdoor
Outdoor Only
What veterinary clinic do you use?
*
Doctor Name:
*
Doctor Phone Number
*
Date of last rabies vaccination
*
Month
1
2
3
4
5
6
7
8
9
10
11
12
Day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
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25
26
27
28
29
30
31
Year
2025
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
Flea and tick preventive?
*
Yes
No
Which brand(s) do you use for flea+tick preventives?
*
**MetroHound reserves the right to treat your pet with CAPSTAR if signs of fleas are found on your pet before, during or after grooming. Your pet will also receive a flea bath which will incur additional charges**
Is your cat taking any medications currently?
*
Yes
No
Please list the medications and the reasons for taking them:
*
Does your cat have any current or past medical conditions?
*
Yes
No
Please list the medical conditions:
*
Has your cat had any surgeries? If so, please list them.
Does your cat have any allergies? If so, please list them:
Is your cat taking allergy injections?
*
Yes
No
How often does your cat take allergy injections?
*
Please list any injuries, sore spots, moles, warts, or lesions that we need to be aware of:
*
Does your cat get frightened in any particular situation? If so, please explain:
*
Has there ever been any part of the styling process your cat was not fond of? If so, please explain:
*
Has your cat ever bitten anyone?
*
Yes
No
Please explain what happened:
*
Is your cat blind or deaf?
*
No
Blind
Deaf
Blind and Deaf
Is this your first mobile salon experience?
*
Yes
No
What did you like about your previous experience?
*
What would you change from your last experience?
*
How do you like your pet styled?
When was the last time your pet was groomed?
***MetroHound requires the pet to receive a comfort clip when excessive matting is present***
Disclaimer
*
I acknowledge that all of the information entered in this form is truthful to the best of my knowledge.