Blue Dingo Dogs
Grooming Intake Form
Owner Name
*
Date
/
Month
/
Day
Year
Date
Phone #
*
Email
*
example@example.com
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
How did you hear about us?
*
We require non-shedding breeds such as doodles, poodles, and shih tzus to be on a 10 week minimum grooming schedule. Has your dog been kept on a schedule?
*
Are there days/times that work better for you for scheduling?
*
Dog's Name
*
Gender
*
Male
Female
Dog's Date of Birth or Approximate
*
Dog's Breed (or mix)
*
Please include a recent photo of your dog to help us better schedule your pup!
*
Browse Files
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Dog's weight
*
Date of Adoption/Purchase
*
/
Month
/
Day
Year
Is your dog spayed/neutered or intact?
*
Spayed/ Neutered
Intact
Other
Where did you acquire your dog? I.E., rescue, breeder, shelter, family friend,
*
Any current medical issues?
*
Is your dog on flea & tick medication? If yes which brand?
*
Please note we can not accept dogs who are not on flea/tick preventative medication
Has your dog been groomed? If yes Where?
*
Date of Last Grooming?
*
Reason For leaving Groomer?
*
Behaviors to be aware of? IE afraid of bath tub, bites, does not like nails, etc
*
Has your dog ever had bitten or snapped at a person? (Including groomer, vet staff, visitors to your home, etc.)
*
Does your dog allow you to brush them and handle them?
*
Is your dog friendly to other dogs and people?
*
Is your dog comfortable in a crate or kennel?
*
Vaccination Expiration Dates:
Rabies exp date
*
/
Month
/
Day
Year
Kennel Cough exp date
/
Month
/
Day
Year
Distemper/Parvo/ Lepto exp date
*
/
Month
/
Day
Year
Date of last fecal sample and results
*
Second Dog's Name
Gender
Male
Female
Dog's Date of Birth or Approximate
Dog's Breed (or mix)
Dog's weight
Is your dog spayed/neutered or intact?
Spayed/ Neutered
Intact
Other
Where did you acquire your dog? I.E., rescue, breeder, shelter, family friend, etc.
Date of Adoption/Purchase
/
Month
/
Day
Year
Date
Any current medical issues?
Is your dog on flea & tick medication? If yes which brand?
Please note we can not accept dogs who are not on flea/tick preventative medication
Has your dog been groomed? If yes Where?
Date of Last Grooming?
Behaviors to be aware of? IE afraid of bath tub, bites, does not like nails, etc
Has your dog ever had bitten or snapped at a person? (Including groomer, vet staff, visitors to your home, etc.)
Does your dog allow you to brush them and handle them?
Is your dog friendly to other dogs and people?
Is your dog comfortable in a crate or kennel?
Vaccination expiration dates:
Rabies exp date
/
Month
/
Day
Year
Kennel Cough exp date
/
Month
/
Day
Year
Distemper/Parvo/ Lepto exp date
/
Month
/
Day
Year
Is there anything else we should know about your dog(s)?
*
Submitting this form does not guarantee a grooming appointment. We will reach out to those on our waitlist as we have space. At this time we are not able to book any new grooming dogs over 10 years old, dogs who have physical aliments that make standing for their groom difficult, dogs who are human aggressive, dogs who have bitten humans/dogs, dogs who are dog aggressive, or dogs who can not be kenneled for a portion of their groom. Priority booking will be given to those dogs who are kept on a 8 week minimum schedule.
*
I have read and agree to the above. I understand that if my dog poses a risk to its self, employees, or other pets they will be immediately dismissed and I will be charged the full price of the booked service.
I did not read it
Submit
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