1153 Main Street Suite 103
Dunedin FL 34698
727-736-2468
www.petstylesbyjennifer.com
NEW CLIENT INFORMATION & RELEASE FORM

Owner Information

Would you like: *

Pet Information

Please fill form completely for each scheduled pet

On monthly flea treatment: *
Aggressive / Bites? *
Gets along with other dogs? *
Is your dog? *


On monthly flea treatment:
Aggressive / Bites?
Gets along with other dogs?
Is your dog?


Aggressive / Bites?
On monthly flea treatment:
On monthly flea treatment:
Is your dog?


Aggressive / Bites?
Gets along with other dogs?
On monthly flea treatment:
Is your dog?

Release Information

Please initial each section
By completing and signing this release form, I hereby release Pet Styles by Jennifer and all associated parties from any and all liabilities for injuries to myself, my dog, or any other property of mine which may arise from any services or products provided by Pet Styles by Jennifer.
 +
I give permission for Pet Styles by Jennifer to contact my veterinarian and recieve information regarding my pet.  Signature: *
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