Client Details:
Only one form necessary for all pets! Please complete the policy form upon booking an appointment.
Owner(s) Names
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / 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:
*
Rabies
Flea & Tick Treatment
How often would you like to have your pet(s) groomed?
*
When was your pet's last grooming?
*
Health Concerns *check all that apply*:
*
Heart issues
ACL torn or repaired
Skin issues/allergies
Seizures
Arthritis/stiffness/trouble standing
None
Dog aggression
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?
*
Monday
Tuesday
Wednesday
Thursday
Friday
I am flexible!
Are morning or afternoons preferred?
*
Morning
Afternoon
I am flexible!
Are you interested in any of the following a-la-carte services? **Visit our "Services" page to learn more**
Toothbrushing ($5-toothbrush must be supplied)
Nail Dremel ($10)
Deep Conditioning/Moisturizing Treatment ($20)
Paw Balm Treatment ($5)
Please sign (type) your name, agreeing that you have filled out the above information truthfully and to the best of your knowledge.
*
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