Briarcliff Pet Resort Grooming Application

Grooming Application

BRIARCLIFF PET RESORT

Owners Name:

Phone:

Email:

Address:

City:

State;

Zip:

Dogs Name:

Breed:

Sex:

Male Female

Dogs Weight:

Dogs DOB:

Altered

Yes No

Veterinarian

Allergies

Has your dog ever growled or grumbled at another dog:

If yes explain:

Has your dog ever bit, bit at, or gotten into a fight with another dog:

If yes explain:

Has your dog ever growled or grumbled at a person:

Has your dog ever bit or bit at a person:

UTD Flea/Tick Medications

Yes No

Any additional information you think would be helpful: