Grooming Form

Grooming Form
How did you hear about us?*
Requested Date Range, From:*

MonthDayYear
Date
Requested Date Range, To:*

MonthDayYear
Date
Your Information
Full Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Home Phone*
Please enter a valid phone number.
Cell Phone*
Please enter a valid phone number.
Work Phone
Please enter a valid phone number.
Email*
example@example.com
Preferred Contact?
Home phone, Cell Phone, Work Phone, Email
Returning Customer?

YesNo
Requesting?

EstimateAppointment
Pet Information

Pet 1
Pet's Name*
Age*
Breed*
Gender*

MaleFemale
Weight (in Lbs)
Color
Spay/Neutered?*

YesNo
Vet Clinic:
Clinic Phone #
Please enter a valid phone number.
Other Medical Info
Please give further details concerning any boxes you checked above or any information you would like to add.
Additional instructions or comment regarding this request
Please list any medications your dog takes and how often.
Coat Condition

MattedSheddingShortMediumLong
Salon Services

Full Groom (Massaging bath, ear cleaning, blow dry, brush-out, toe nail trim, anal glands, specific cut for your dog.Deluxe Bath (Massaging bath, ear cleaning, blow dry, brush-out, toe nail trim, cologne and bandana
Add Spa Package

Ultimate Pampered PoochPampered Pooch
Ala Carte

Toe nail trim $10-$15Nail paint $10Dremmel $15-$20Paw pad trim $10Paw pad/Feet trim $15Shedless $5-$20Sanitary trim $5-$15Ear cleaning/ plucking $5-$10Tear stain removal trim $5Hair Dye $10-$25Anal Gland expression-Free just ask!Teeth brushing /Breath spray $5Coconut soak $10-$15Oatmeal Shampoo $5Blueberry facial $5Medicated Shampoo $10Conditioner $5
Pet lives

IndoorOutdoor

Verification
Should be Empty:

Grooming Form

Your Information

Pet Information