The Pet Set, Pet Profile

Customers who already have an up-to-date "Pet Profile" on file may call us at 562 595 5889 to schedule the appointment.

Owners of Pit Bulls or Staffordshire Bull Terriers would be advised to use a caged kennel service. No appointments will be accepted at The Pet Set for these breeds.

Please provide the following owner information:

Required input  * (select N/A in fields that do not apply)

Name? *
Address? *
City? *
Zip code? *
Home Phone? *
Work Phone?
Cell Phone?
Email (1)? *
Email (2)?
How did you hear about The Pet Set? *

Please provide a alternate contact name if we can not reach you:

Alternate, name?
Alternate, address?
Alternate, city?
Alternate, zip code?
Alternate, phone?

Please provide the following Pet information. (Calendar on this page is provided for reference only):

Name? *
First day for service? *
Boarding Only, Last day of service? 
Day care only, Service period? 
Type of Pet? *
Service request? *
Spaded or neutered? *
Sex? *
Age? *
Birthday? 
Breed/Description/Color? * 
Where did you get your pet from?
How old was your pet when you brought him/her home?
Has your pet ever been to a dog park or beach environment?
When  your pet was in dog park or beach environment? How did he/she react ?
Medical problems/limitations?
Has your pet ever been boarded elsewhere and what were you and your pets experience and what was the name of the facility?
Veterinarian? *
Vets address?
Vets Phone? *
AM diet needs?
PM diet needs?
Is your pet in good health? *
Date of last Rabies vaccination? *
Dog only, date of last Bordatella vaccination? *
Dog only, date of last DHL-P-P vaccination? *
Cat only, date of last FVRC-P vaccination? *
Medication?
Purpose?
Dosage?
Second medication?
Second medication, purpose?
Second medication, dosage?
What is your pet's activity level like?
How does your dog react to small dogs or puppies?
How does your dog react to large dogs?
Is there anything that automatically triggers fear, nervousness or aggression with your pet?
Is your pet toy protective?*
Has your pet injured a person or another pet? *
Is there any additional information that may be helpful for us to get to know your pet better?
Flea protection used?
Date of last dosage of flea protection?
History of aggression? *
CLIENT HEREBY ACKNOWLEDGES THAT THEY HAVE READ, FULLY UNDERSTAND AND AGREE TO ALL OF THE TERMS AND CONDITIONS WITHIN THIS AGREEMENT.

   

If needed, for more then one pet, submit this form. Fill out another form using your cursor down arrow to quickly fill in all repetitive data.    

    The Pet Set                                                       Print a form to bring in?
    3960 Cherry Ave                                             Form in Word *.doc
    Long Beach, Ca 90807                                   Form in Acrobat *.pdf, requires Acrobat Reader.
    562 595 5889
    Revised: 03/03/08