About You

 How did you learn about Four Paws?    

First Name:        Last Name:   

Spouse's Name:   

Home Phone:      Cell:    Work:   

Emergency Contact (other than you or your spouse):      

Emergency Phone: 

Preferred Phone Number:  ----- CHOOSE ONE ----- HOME CELL WORK EMERGENCY

E-Mail Address:

 Mailing Address:       

 City:      State:     Zip: 

Physical Address (if different from mailing):   

 City:      State:     Zip: 

**IMPORTANT NOTE**

BEFORE your dog's arrival, Four Paws must receive CURRENT vaccination records.  Your vet can fax the information to (706) 428-0770.

Required vaccinations for dogs are : Rabies, Bordatella, and DHLPP.

About Your Dog

Name:         Color:      

Male/Female:    --Select One-- Male Female      Neutered/Spayed:            --Choose-- Yes No

        Breed:       Approximate Weight:    

Date of Birth:     

Vet's Office Name:     

Name of Flea Medication:      

Date Given:    

**Please note: In order to protect all guests staying at Four Paws, any guest checking into our facility infested with fleas will be given a CapStar at the owner's expense.**

Disabilities/Illnesses : (CHECK ALL THAT APPLY)

  Limited Mobility    Sight Impairment    Hearing Loss    Incontinence    Heat/Cold Sensitivity

Other (provide comments below)

Important Information

Has your pet ever been groomed in the past?  Yes  Or  No

Snapping or nipping at humans : Explain :

Is your dog or cat a rescue from a shelter? (less than 1 year ago)                                  Yes  Or  No     

Additional special requests or other information you would like us to know :

At the Resort, making our guests comfortable is our top priority.  We welcome any information that will be important for us to help your dog enjoy his or her grooming stay.