New Client Application

We would love to meet you and your pup! To get started as a client with Wicker Pet, we ask that you first fill out this application. Bear in mind, this is a submission form for our new client application, not a reservation or booking. Once we receive your submission, we will reach out through email with the next steps. Thank you!

Owner Info

Name

First Name

Last Name

Email Address

Street Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

preferred number

(###)

###

####

Other Person(s) authorized to pick up your pet

How did you hear about us?

Referred by:

Enter client's or dog's name:

What services are you interested in?

Dog Info

Dog's Name

Breed

Age or Birthday (if known)

Color/Markings

Sex

Female

Male

Spayed/Neutered

Yes

Has your dog ever bitten a person or other animal?

Please write in yes or no

Veterinarian

First Name

Last Name

Veterinarian Phone

(###)

###

####

Special Information or Instructions