Grooming Form

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

Month Day Year
Date
Requested Date Range, To: *

Month Day Year
Date
Your Information
Full Name *

First Name Last Name
Address *

Street Address

Street Address Line 2

City State / 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?

Yes No
Requesting?

Estimate Appointment
Pet Information

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

Male Female
Weight (in Lbs)
Color
Spay/Neutered? *

Yes No
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

Matted Shedding Short Medium Long
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 Pooch Pampered Pooch
Ala Carte

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

Indoor Outdoor

Verification
Should be Empty:

Grooming Form

Your Information

Pet Information