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The Kansas City Pet Company LLC

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HomeNew Client Form

New Client Form

New Client Form

If you are interested in becoming a Kansas City Pet Company client please fill out the form below and we will get back with you as soon as we can.

Please note there will still be some paperwork to fill out at the consultation visit.

Name *

First

Last

Email *

Pet Name

Length of Time Owned

Breed (if known)

Physical Description or Markings

What Kind of Pet?

Dog
Cat
Other 🙂

Sex

M
F

Declawed?

Yes
No

Neutered?

Yes
No

Microchip/Dog Tag #

Birthdate or Approximate Age

Weight or Approximate Size

Feed Apart from Other Pets?

Yes
No

Dispose of Uneaten Food?

Yes
No

What kind of food does your pet eat?

What is their feeding procedure? When and where do they eat?

Are they on any medication? If so, please provide medication procedures below.

Please provide water procedures. Are they allowed water all day? Is there a time you pick their water up at night?

Please check any of these choices that your pet does not like

Touch Ears
Spray
Hot Days
Cold Days
Loud Noises
Rainy Days
People Near Food Dish
Animals Near Food Dish
Sharing Food Dish
Strangers

Any other temperament quirks not listed above?

Please describe pet's reaction if irritated

Has your pet ever displayed aggressive activity? If so, please describe incident.

Aggressive activity is NOT a dealbreaker for us to provide care for your pet. We understand circumstances happen from time to time. We just like to have all of the information to try and prevent an aggressive outburst.

Please list any commands your pet knows (Sit, Stay, Come etc.)

Does your pet have any favorite games, toys, activities?

Please describe your pet's potty schedule.

Does your pet receive regular walks?

Yes
No
Sometimes, but not regularly

Please give a brief description of your pet's living area including general furniture rules

Where does your pet sleep?

Is there any additional information you would like to share about your pet that was not previously covered?

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CERTIFICATIONS:

Contact Us:

Email: KCPetCo@gmail.com

Phone: 913-337-2246

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