Owner's First & Last Name
*
Owner's Pronouns (How would you like me to address you? ie. She/Him/They/Mr/Mrs/Mx)
Phone Number
*
Preferred Contact Method (Check all that apply)
*
Phone Call
Text Message
Email
Street Address (Where I will be grooming your pet)
*
Home Address (if different)
Is there room for an approx 22 foot long vehicle (12 ft trailer and vehicle to tow it), including ample turn around/back up space?
*
Where do you expect me to park?
*
In my driveway
On my street (preferred)
Will you be home during your Pet's groom?
*
If No, do you understand the estimate price must be paid in full before your appointment (any adjustments will be made after your appointment)?
All about your pet (Only one pet per section)
Pet Name
*
Pet Type
*
Dog
Cat (Short Hair)
Cat (Long Hair)
Breed (if your pet is a mix please put breed(s) your pet looks closest to)
*
Your Pet's Birthday (Month, Day, Year)
*
Your Pet's Age
*
Pet's Gender
*
Male Intact
Male Neutered
Female Intact
Female Spayed
Pet's Approximate Weight?
*
Veterinarian Name/Number
*
Has your pet ever bitten anyone, needed to be muzzled, couldn't have the groom completed or been asked to find another groomer? (please answer honestly, I am willing to attempt a groom on any pet but for your pet's and my safety I need to be aware of any situations that may have happened in the past)
*
Yes
No
If yes, what were the circumstances?
Please Check all health conditions your pet has
*
Over Weight
Sensitive Skin
Allergies
Hip and Joint Pain
Paralysis
Missing a leg
Over 10 years old (Senior Pet)
Bleeding Disorder (ie Hemophilia)
Diabetes
Cancer
Heart Issues
Blind
Deaf
Dental Issues (Ie Bad Teeth)
Current Injury
Open Wound
Breathing Issues
Communicable Disease (Ie Kennel Cough)
Auto Immune Disease
GI Issues (ie IBS)
Aggression
Anxiety
Seizures
None of the Above
Has your pet seen a vet in the past year?
*
Yes
No
Is your pet up to date on the following (rabies vaccine is required for grooming and proof will be asked for before first appointment):
*
Rabies Vaccine
Distemper/Parvo Vaccine
Fecal Exam
Heartworm Test
Flea and Tick Prevention
Intestinal Parasite Prevention
Heartworm Prevention
Bordetella Vaccine
Please elaborate on any issues above (in the past 3 questions), the more specific the better
Please check all that apply for your dog's temperament
*
Outgoing
Friendly
Shy
Nervous
Fearful
Aggressive
Will Bite
Happy
Hyper
Dog Aggressive
High Prey Drive (will attack a small animal)
What services are you looking to have done?
*
Bath
Deshedding Treatment
All over haircut
Hair Trim (neaten up feathering, ie a trim up on a Golden Retriever)
Nail Trim
Nail Grining
Demat
Teeth Brushing
Ear Cleaning/Plucking
Anal Gland Expression
Medicated Shampoo for skin issue
Color enhancing shampoo
Conditioner
Hypoallergenic Shampoo for sensitive skin
Bandana
Bows (on long haired dogs only)
Shave Down (coat left under 1/4" long)
Other
What is your pet's coat type?
*
Short and Smooth (like a Pit Bull or a Chihuahua)
Short with a dense undercoat (like a German Shepherd or Husky)
Wire (Like a Terrier)
Silky (Like a Yorkie or Shih Tzu)
Curly (Like a Poodle)
Long with a dense under coat (Like a Golden Retriever or Newfoundland)
Other
If you're interested in a haircut how much length do you want left on (if you know the blade/comb you can put that too).
Is your pet matted?
*
No
Some tangles
Very Matted
Severely Matted
Do you understand the price given is just an estimate and can be influenced by coat condition, dog's temperament and services requested?
*
Yes
No
Please upload a current photo of your pet:
*
Browse Files
Drag and drop files here
Choose a file
a short (under 15 second) video is fine too
Cancel
of
Do you have another pet you'd like groomed?
*
Yes
No
All about your pet 2 (Only one pet per section)
Pet Name
*
Pet Type
*
Dog
Cat (Short Hair)
Cat (Long Hair)
Breed (if your pet is a mix please put breed(s) your pet looks closest to)
*
Your Pet's Birthday (Month, Day, Year)
*
Your Pet's Age
*
Pet's Gender
*
Male Intact
Male Neutered
Female Intact
Female Spayed
Pet's Approximate Weight?
*
Veterinarian Name/Number
*
Has your pet ever bitten anyone, needed to be muzzled, couldn't have the groom completed or been asked to find another groomer? (please answer honestly, I am willing to attempt a groom on any pet but for your pet's and my safety I need to be aware of any situations that may have happened in the past)
*
Yes
No
If yes, what were the circumstances?
Please Check all health conditions your pet has
*
Over Weight
Sensitive Skin
Allergies
Hip and Joint Pain
Paralysis
Missing a leg
Over 10 years old (Senior Pet)
Bleeding Disorder (ie Hemophilia)
Diabetes
Cancer
Heart Issues
Blind
Deaf
Dental Issues (Ie Bad Teeth)
Current Injury
Open Wound
Breathing Issues
Communicable Disease (Ie Kennel Cough)
Auto Immune Disease
GI Issues (ie IBS)
Aggression
Anxiety
Respiratory Issues
None of the Above
Has your pet seen a vet in the last year?
*
Yes
No
Other
Is your pet up to date on the following (please note: up to date rabies vaccine is required for grooming and proof will be required prior to appointment)
*
Rabies Vaccine
Distemper/Parvo Vaccine
Bordetella Vaccine
Heartworm Test
Fecal Exam
Flea/Tick prevention
Intestinal Parasite prevention
Heartworm Prevention
Other
Please elaborate on any issues above (in the last 3 questions), the more specific the better
Please check all that apply for your dog's temperament
*
Outgoing
Friendly
Shy
Nervous
Fearful
Aggressive
Will Bite
Happy
Hyper
Dog Aggressive
High Prey Drive (will attack a small animal)
What services are you looking to have done?
*
Bath
Deshedding Treatment
All over haircut
Hair Trim (neaten up feathering, ie a trim up on a Golden Retriever)
Nail Trim
Nail Grining
Demat
Teeth Brushing
Ear Cleaning/Plucking
Anal Gland Expression
Medicated Shampoo for skin issue
Color enhancing shampoo
Conditioner
Hypoallergenic Shampoo for sensitive skin
Bandana
Bows (on long haired dogs only)
What is your pet's coat type?
*
Short and Smooth (like a Pit Bull or a Chihuahua)
Short with a dense undercoat (like a German Shepherd or Husky)
Wire (Like a Terrier)
Silky (Like a Yorkie or Shih Tzu)
Curly (Like a Poodle)
Long with a dense under coat (Like a Golden Retriever or Newfoundland)
Other
If you're interested in a haircut how much length do you want left on (if you know the blade/comb you can put that too).
Is your pet matted?
*
No
Some tangles
Very Matted
Severely Matted
Do you understand the price given is just an estimate and can be influenced by coat condition, dog's temperament and services requested?
*
Yes
No
Please upload a recent photo of your pet:
*
Browse Files
Drag and drop files here
Choose a file
A short video (under 10 seconds) will work too
Cancel
of
Do you have another pet you would like groomed?
Yes
No
All about your pet 3 (Only one pet per section)
Pet Name
*
Pet Type
*
Dog
Cat (Short Hair)
Cat (Long Hair)
Breed (if your pet is a mix please put breed(s) your pet looks closest to)
*
Your Pet's Birthday (Month, Day, Year)
*
Your Pet's Age
*
Pet's Gender
*
Male Intact
Male Neutered
Female Intact
Female Spayed
Pet's Approximate Weight?
*
Veterinarian Name/Number
*
Has your pet ever bitten anyone, needed to be muzzled, couldn't have the groom completed or been asked to find another groomer? (please answer honestly, I am willing to attempt a groom on any pet but for your pet's and my safety I need to be aware of any situations that may have happened in the past)
*
Yes
No
If yes, what were the circumstances?
Please Check all health conditions your pet has
*
Over Weight
Sensitive Skin
Allergies
Hip and Joint Pain
Paralysis
Missing a leg
Over 10 years old (Senior Pet)
Bleeding Disorder (ie Hemophilia)
Diabetes
Cancer
Heart Issues
Blind
Deaf
Dental Issues (Ie Bad Teeth)
Current Injury
Open Wound
Breathing Issues
Communicable Disease (Ie Kennel Cough)
Auto Immune Disease
GI Issues (ie IBS)
Aggression
Anxiety
Respiratory Issues
None of the Above
Has your pet been to the vet in the past year?
*
Yes
No
Is your pet up to date on the following (note: proof of rabies vaccines is required prior to grooming):
Rabies Vaccine
Distemper/Parvo Vaccine
Bordetella Vaccine
Fecal Exam
Heartworm Test
Flea/Tick Prevention
Heartworm Prevention
Instestional Paracite Prevention
Other
Please elaborate on any issues above (in the last 3 questions), the more specific the better
Please check all that apply for your dog's temperament
*
Outgoing
Friendly
Shy
Nervous
Fearful
Aggressive
Will Bite
Happy
Hyper
Dog Aggressive
High Prey Drive (will attack a small animal)
What services are you looking to have done?
*
Bath
Deshedding Treatment
All over haircut
Hair Trim (neaten up feathering, ie a trim up on a Golden Retriever)
Nail Trim
Nail Grining
Demat
Teeth Brushing
Ear Cleaning/Plucking
Anal Gland Expression
Medicated Shampoo for skin issue
Color enhancing shampoo
Conditioner
Hypoallergenic Shampoo for sensitive skin
Bandana
Bows (on long haired dogs only)
What is your pet's coat type?
*
Short and Smooth (like a Pit Bull or a Chihuahua)
Short with a dense undercoat (like a German Shepherd or Husky)
Wire (Like a Terrier)
Silky (Like a Yorkie or Shih Tzu)
Curly (Like a Poodle)
Long with a dense under coat (Like a Golden Retriever or Newfoundland)
Other
If you're interested in a haircut how much length do you want left on (if you know the blade/comb you can put that too).
Is your pet matted?
*
No
Some tangles
Very Matted
Severely Matted
Do you understand the price given is just an estimate and can be influenced by coat condition, dog's temperament and services requested?
*
Yes
No
Please upload a recent photo of your pet:
*
Browse Files
Drag and drop files here
Choose a file
A short video (under 10 seconds) will work too
Cancel
of
Do you have another pet you would like groomed?
Yes
No
All about your pet 4 (Only one pet per section)
Pet Name
*
Pet Type
*
Dog
Cat (Short Hair)
Cat (Long Hair)
Breed (if your pet is a mix please put breed(s) your pet looks closest to)
*
Your Pet's Birthday (Month, Day, Year)
*
Your Pet's Age
*
Pet's Gender
*
Male Intact
Male Neutered
Female Intact
Female Spayed
Pet's Approximate Weight?
*
Veterinarian Name/Number
*
Has your pet ever bitten anyone, needed to be muzzled, couldn't have the groom completed or been asked to find another groomer? (please answer honestly, I am willing to attempt a groom on any pet but for your pet's and my safety I need to be aware of any situations that may have happened in the past)
*
Yes
No
If yes, what were the circumstances?
Please Check all health conditions your pet has
*
Over Weight
Sensitive Skin
Allergies
Hip and Joint Pain
Paralysis
Missing a leg
Over 10 years old (Senior Pet)
Bleeding Disorder (ie Hemophilia)
Diabetes
Cancer
Heart Issues
Blind
Deaf
Dental Issues (Ie Bad Teeth)
Current Injury
Open Wound
Breathing Issues
Communicable Disease (Ie Kennel Cough)
Auto Immune Disease
GI Issues (ie IBS)
Aggression
Anxiety
Respiratory Issues
None of the Above
Has your vet seen a vet in the past year?
Yes
No
Is your pet up to date on the following? (Note: proof of a rabies vaccines is required prior to grooming)
Rabies Vaccine
Distemper/Parvo Vaccine
Bordetella Vaccine
Fecal Exam
Heartworm Test
Flea/Tick Prevention
Heartworm Prevention
Intestional Paracite Prevention
Please elaborate on any issues above, the more specific the better
Please check all that apply for your dog's temperament
*
Outgoing
Friendly
Shy
Nervous
Fearful
Aggressive
Will Bite
Happy
Hyper
Dog Aggressive
High Prey Drive (will attack a small animal)
What services are you looking to have done?
*
Bath
Deshedding Treatment
All over haircut
Hair Trim (neaten up feathering, ie a trim up on a Golden Retriever)
Nail Trim
Nail Grining
Demat
Teeth Brushing
Ear Cleaning/Plucking
Anal Gland Expression
Medicated Shampoo for skin issue
Color enhancing shampoo
Conditioner
Hypoallergenic Shampoo for sensitive skin
Bandana
Bows (on long haired dogs only)
What is your pet's coat type?
*
Short and Smooth (like a Pit Bull or a Chihuahua)
Short with a dense undercoat (like a German Shepherd or Husky)
Wire (Like a Terrier)
Silky (Like a Yorkie or Shih Tzu)
Curly (Like a Poodle)
Long with a dense under coat (Like a Golden Retriever or Newfoundland)
Other
If you're interested in a haircut how much length do you want left on (if you know the blade/comb you can put that too).
Is your pet matted?
*
No
Some tangles
Very Matted
Severely Matted
Do you understand the price given is just an estimate and can be influenced by coat condition, dog's temperament and services requested?
*
Yes
No
Please upload a recent photo of your pet:
*
Browse Files
Drag and drop files here
Choose a file
A short video (under 10 seconds) will work too
Cancel
of
Submit
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