New Customer Form

Client Details:

Only one form necessary for all pets! Please complete the policy form upon booking an appointment.
Owner(s) Names

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Cell Phone Number
Format: (000) 000-0000.
E-mail
Emergency/Secondary Contact Information for Pet Name and Phone Number
Pets Name(s) (list all dogs being groomed)
Pets Breed(s)
Pets Age(s)
Pets Gender(s)
Pets Weight(s)
My pet(s) is/are up-to-date on:
How often would you like to have your pet(s) groomed?
When was your pet's last grooming?
Health Concerns *check all that apply*:
Please specify if your pet as any known allergies:
Is there anything else we should know that could effect your pet's grooming?:
What days of the week are you available?
Are morning or afternoons preferred?
Are you interested in any of the following a-la-carte services? **Visit our "Services" page to learn more**
Please sign (type) your name, agreeing that you have filled out the above information truthfully and to the best of your knowledge.
Sign
Should be Empty:

Client Details: