Dog Grooming Form - Birkenshaw
Thank you for choosing the Hound Ville Ltd. Please fill out the form below. This ensures our team can provide the best service and highest standard of care for your dog(s).
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Your Details
Please provide your personal details.
Name
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First Name
Last Name
Email
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Address
Street Address
Street Address Line 2
City
County
Post Code
Mobile Number
*
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Area Code
Phone Number
Emergency Contact Name
First Name
Last Name
Emergency Contact Number
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Area Code
Phone Number
Name of Vets
Vets Address
Street Address
Street Address Line 2
City
County
Post Code
Vets Number
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Area Code
Phone Number
Your Dog(s) Details
Please provide details of your dog(s) below.
Dog(s) Name
Dog(s) Breed
Dog(s) Age
Dog(s) Birthday
Dog(s) Gender
Dog(s) Health Notes
Vaccinated
Yes
No
Microchipped
Yes
No
Any Lumps or Warts on Dog(s)
Yes
No
Other
Is Your Dog(s) Vaccinated?
Yes
No
Other
Has Your Dog Had or Been Near an Animal Suffering From:
Fleas
Mites
Worms
Ticks
Lice
Mange
Lung Worm
None
Other
Behaviour Notes
Please provide any necessary details of your dog(s) behaviour.
Does Your Dog Require a Muzzle?
Yes
No
Other
Date of 1st Groom
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Month
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Day
Year
Date
Grooming Requirements
E.g. Any special shampoo requirements.
Favourite Smelling Spray
Choose Your Preferred Groom
Luxury Full Body Groom (from £25)
Express Wash, Dry & Trim (from £20)
Puppy Wash & Blow Dry (from £15)
Hand Stripping (from £45)
Wash, Fluffy Dry & De-Shed (from £20)
Add a Luxury Spa Treatment?
5* Moroccan Argon Oil & Lavender Mud Treatment (£35)
5* Luxury Spa Experience (£35)
5* Deluxe Pawdicure (£25)
5* Blueberry Facial (£15)
Any Additional Treatments?
Clean Teeth & Freshen (£5)
Tear Stain Removal (£5)
Paddy Care (£5)
Wrinkle Treatment (£5)
Cracked Nose Treatment (£5)
Your Chosen Shampoo
2 in 1
Tea Tree
Berry Blast
Puppy
Baby Fresh
More Black
Baby White
Fox Poo
Skin Soothing Watermelon
Flea & Tick
Oatmeal Natural
Dirty Dog
Coconut Moisturising
Iris & Amber
Copper Tones
Lemon Citrus
Mandarin & Rose
Your Choice of Fragrance
Snoop
Toto Chanelle
T Alien
Baby Fresh
Candy Heart
Jimmy Chow
Prince
Dog in a Million
Rhubarb & Custard
Bark Orchid
Kreed
Dog Sauvage
Viktor & Ruff
Strawberry Bon Bon
I agree
Yes
No
Any Additional Notes for Our Team?
E.g. Any special shampoo requirements.
Terms & Conditions
I confirm that my pet is fit, healthy & vaccinated. I agree that my groomer will not be held liable or responsible for irritation, abrasion, patchiness or hair loss due to any pre-existing skin condition, or as a result of the process of grooming, de-matting, thinning, stripping or shaving, or any mishap caused by my non-disclosure of my pet's medical condition or behaviour. If my pet bites or attempts to bite any person or pet, a muzzle may be used , or at the discretion of the groomer, treatment may stop & I will pay for all work done to that point & pay for full damages & expenses my pet has caused. If I fail to collect my pet at the agreed time, I will pay all extra cost due. If my pet harbours any parasites I will clear them at my expense. If my pet's health causes concern, I will obtain veterinary treatment at my expense. I confirm all facts I supply above are true. I agree to pay for any charges due for appointments cancelled without adequate notice. I understand the groomer may not be able to achieve my desired look or may have to trim the pet short due to matting.
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