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Services
Rates
All Services
Dog Care
Training
Pet Sitting
Grooming
Reservations
Shop
All Products
Dog Toys
Pet Gear
Gift Cards
New Member
You may add additional pets on the next screen
*
Indicates required field
Parent Name
*
First
Last
Phone Number
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Email
*
Address
*
Line 1
Line 2
City
State
Zip Code
Country
Parent #2 Name
*
First
Last
[object Object]
Phone Number
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Emergency Contact (local)
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First
Last
Phone Number
*
How did you hear about Duke Dog Care?
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Which service(s) are you interested in?
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Dog Training
Mobile Dog Grooming
Daily / Overnight Pet Care
Pet #1 Name
*
First
Last
Pet's Age
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Species/Breed
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Vet Clinic
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MEDICAL
How is your pet's VISION?
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-
Great!
Some vision loss
Not Good / Blind
How is your pet's HEARING
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-
Great!
Some Hearing Loss
Not Good / Deaf
How is your pet's DIGESTION?
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Normal
Slightly Irregular
Sensitive Stomach
Date of most recent Rabies vaccination
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Date of most recent Bordetella vaccination
*
List Medications Here:
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Does your pet have any medical concerns?
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Cancer/ Illness
Seizures/ Heart Murmur
Arthritis/ Injuries
Skin/ Ear Infections
Dental Isuues
Allergies
NONE
choose all that apply
Detail Medical Concerns Here:
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BEHAVIOR
How is your pet with PEOPLE?
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-
Great!
Shy
Aggressive
I'm Not Sure
How's your pet with ANIMALS?
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-
Great!
Shy
Aggressive
How is your pet while you're away?
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Cool, Calm, Collected
Nervous or Anxious
Sad or Lethargic
I'm Not Sure
Does your pet have any behavioral concerns?
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Protective/Aggression
Reactive/Anxious
Shy/Nervous
Sesitive to touch/sounds
Other
NONE
Detail Behavior Concerns Here:
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Feeding
How often does your pet eat?
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AM
Noon
PM
Free feed
choose all that apply
Serving size per meal
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Can your pet have treats?
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Yes, only ours
Yes, any treats
No treats
additional feeding instructions:
*
Is your pet spayed / neutured?
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Neutured
Spayed
Not Currently
Questions or Comments:
*
Do you agree to Duke Dog Care's terms?
*
Yes. I read and agree.
Join the Team!