Brittney Appointment Request Form

Appointment Request

Thank you for your interest in having your pet groomed by Brittney! Due to the nature of her schedule, Brittney only accepts new clients who maintain a set grooming schedule. Once the form is completed, she will contact you to arrange an appointment, or recommend a groomer she thinks would be a great fit for you. Please note, this application is used to fill any available appointments in the most efficient and effective way possible.
Client Information
Full Name *

First Name Last Name
Phone *

Area Code Phone Number
E-mail *
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Pet Information
Pet Name
Pet Breed
Pet Age
Current Pet Weight
Please list all known medical issues below:
Please explain any behavioral issues below:
Grooming Information
When was your pet last groomed by a professional groomer?
Please describe your preferred haircut below:
Preferred grooming frequency: *

Weekly Biweekly Every 4 weeks Every 6 weeks
What service are you interested in?
Store Preference? *

Lime Kiln Lane St Matthews Prospect No preference
Any additional information you would like to share? If you were referred, please list them here. *
Please submit a current photo of your pet. You can submit as many photos as you'd like. If you have a photo of your desired haircut style, you can submit that, as well!

Browse Files

Cancel of
Should be Empty:

Appointment Request