Clean Critters & Clean Critters Too
​Call us: 512-487-5075 or E-Mail us: cleancrittersofaustin@gmail.com
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2116 E. Cesar Chavez St. Austin TX,  78702
Grooming Client Intake Form

This Form is for Clients that will be Having Their Pet Groomed While @ Clean Critters.
Please be sure to fill out this for Completely so we can best serve the needs of your Critter!

Customer:
* Client Name:
(First & Last Name)
* Street Address:
* City:
* State:
* Zip Code:
Home Phone: 
* Cell Phone: 
Work Phone: 
* E-Mail Address: 
Critter 
* Critter #1 Name:
* Age:
* Breed:
* Color:
Allergies:
Vaccines:
(We only require Rabies for Pet Grooming)
Expiration Date:
* Is Your Pet Aggressive in Any Way?
How Did You Find Us?
Referral Name: (They Receive A 5$ Discount)
* Can we use Photos of your Critter for Social Media?

* Is your Critter on any Medications?
If Yes, Please Describe:
If Yes, Please Describe:
* Rabies:
* = Required Field
N/A for Not Applicable

YesNo
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