Application For Free Evaluation Day
Please complete this form, submit it and a Club Pups Grooming and Club Pups Lake Norman representative will contact you shortly. Please make sure to fill out all starred boxes. If it is not applicable, please put N/A in that field. The application will not submit unless the starred boxes are completed. Please note that free evaluation days are only offered on Mondays and Wednesdays.
Email address *
First Name *
Your answer
Last Name *
Your answer
Additional Owner
Your answer
Address *
Your answer
City
Your answer
State/Province
Your answer
Zip Code
Your answer
Home Phone
Your answer
Cell Phone *
Your answer
Work Phone
Your answer
Additional Email
Your answer
Emergency Contact (other than owner) *
Your answer
Emergency Contact Phone Number *
Your answer
How did you hear about us? *
Required
Referral Name
Your answer
Pet's Name *
Your answer
Pet's Breed *
Your answer
Pet's Description (hair color, size, etc.)
Your answer
Gender *
Required
Spayed/Neutered *
($20 additional if over 6 months old and not spayed/neutered for boarding ONLY; for daycare will not be allowed in the facility. This is because we will have to keep your loved one separate throughout the entire day for all parties concerned)
Required
Weight *
Your answer
Authorized to Pick-Up *
Your answer
Date of Birth *
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Microchipped?
If yes, please provide the pet ID
Your answer
Is there any PERSON, type of DOG, or SITUATION that your dog seems uncomfortable with? Please describe *
Your answer
Has your dog ever growled at or bitten another PERSON or DOG? *
Will your dog readily share toys with other dogs? *
Can you take a food item away from your dog without him / her growling? *
Has your dog ever jumped a fence or a barrier? *
Are there any type of breeds your dog dislikes? *
If so, which ones?
Your answer
Are there any areas on your dog’s body where he/she does not like to be touched? *
If so, which areas?
Your answer
Please name the brand of dog food you are providing as well as the times of day, quantity and any special instructions required for feeding your dog *
Please make sure to pre-bag each meal individually when your pup boards. Any meal not pre-bagged will inquire a $5 per day per pup.
Your answer
Does your dog have any allergies or any other conditions?
Your answer
Medications? *
Your answer
Has your dog been in good health the last 30 days? *
If no, please describe
Your answer
Name of Veterinarian *
Your answer
Veterinarians Address
Your answer
City
Your answer
State/Province
Your answer
Zip Code
Your answer
Phone Number *
Your answer
Vaccinations *
Required
When would you like to schedule your dog’s evaluation? *
Please note that free evaluation days are ONLY offered on Mondays and Wednesday.
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