New Grooming Client Registration

What is your dog's Name? *

If you have more than one dog, you will get a chance to enter in your second dog after this form!

What is the date of your appointment? If you do not have an appointment yet, please call our front desk at 612-866-9663 and we will help you find a date and time. Thank you! *

Owner Name *

First

Last

Additional Owner Name

First

Last

Primary Email *

Secondary Email

Address *

Address Line 1

City

State

Zip Code

Primary Contact Phone# *

Secondary Account Phone#

Additional Account Phone#

Emergency Contact - Someone Other than Owner(s) *

First

Last

Emergency Contact Phone *

How did you hear about Woof Central?

Who is your excellent friend/relative?

Which Vet Clinic?

Which event did you attend?

Information about your dog

If you have a second dog, you will have the chance to give this information after you complete information for your first dog.

What is Your Dog's Birth Date *

Dog Breed and Short Description *

About how much does your dog weigh? *

Dog's Sex *

Spayed/Neutered? *

Behavioral History

The following behavioral questions will help us to understand your dog better and ensure we can take the best care possible when he or she is here at Woof!

Can your dog have treats while he or she is at Woof Central? *

Yes
No, please

Has your dog ever exhibited agressive behavior while being groomed or handled?

Yes
No

Please Describe

Is there anything else you would like us to know about your dog that would help us make his or her grooming experience a success?

Medical Information

Veterinary Clinic Name and City *

Any Allergies? *

What is your dog allergic to?

Any Health Concerns Our Staff Should Be Aware Of?

Check all that apply for your dog:

My dog is on flea/tick control
My dog is on heartwork preventative
My dog is chipped
My dog has had a negative stool check within the last year

I understand that my dog needs updated Bordetella, Distemper (DHPP, DAPP, DHPPV) and Rabies vaccines. You must present proper paperwork before we can accept your dog. *

Yes, Understand!

You can upload your vaccine forms below You (or your vet) can fax your forms to: 612-869-0691 You (or your vet) can email your forms to: info@woofcentraldogs.com

File Upload

Click or drag files to this area to upload. You can upload up to 2 files.

Upload your vaccine records (We need the page with next due dates for all three vaccines)

Signature *

This registration is correct to the best of my knowledge

Print Name *

First

Last

Today's Date

Do you have a second dog?

Register a second dog using this link NOTE: A new tab will open for your second dog's registration information. Be sure to come back and hit submit here after the new window opens!

Thank you for your information! We look forward to working with you and your dog.