Grooming Request Form

Grooming Client Request Form
Is your Pup new to Cha Cha's?

Yes, please get us startedNope, we're already family
Our goal is for your dog to have a comfortable grooming experience. We go through each step with gentle encouragement, if your dog shows stress we pause. During the grooming procedure, everyone's safety comes first, both the people and the animals.

This form provides details on our grooming process and helps us get to know your pet.
Pet Parent Name*

First NameLast Name
Phone Number*

Area CodePhone Number
Email*
example@example.com
Additional Authorized Pet Parent

NamePhone number
Which salon option would you like?

Short Hair Bath and Blow DryLong Hair Bath and Blow DryHairCut Quick Trim (Feet, Face & Fanny)Hair Cut Buzz Cut (1/2" all over, including face, ears and tail)Hair Cut Custom (Parent's choice)
Add Ons

Nail FileDe-Shed (remove excess fur and dander)Fresh Breath Treatment (teeth brush and gum treatment)Skunk Bath
No Bath - Service only

Nail ClipNail File/DremmelFresh Breath Treatment (teeth brush and gum treatment)Ear CleaningBrush Out/De-matting
First Choice - Call for Same Day 916-739-6303
Second Choice - Call for Same Day 916-739-6303
Any notes for the groomer
Pet #1
Name*
Breed*
Age*
Weight*
Pet #2
Name
Breed
Weight
Age
Pet #3
Name
Breed
Weight
Age
Vaccines

It is strongly advised that all pets be up to date on all vaccinations, and Rabies immunization is required to get grooming services.
Ticks & Fleas

We make every effort to be a flea-free environment. If your pet has fleas, an additional $10-$20 will be added for a flea bath (depending on the size of your dog). You can reschedule your appointment after the matter has been resolved if you do not want them to get one.
Matted Coats

Matted coats can cause a variety of skin and health problems. Matted fur does not allow air circulation to the skin, causing hot spots, bacterial and fungal infections. Fleas, tickets, maggots, and other parasites may lurk in the coat causing further skin infections. Matted fur also pulls and binds, causing pain to your pet when they move or lay on mats. The inability to dry properly leaves the skin underneath raw and inflamed. Removing a densely matted coat requires shaving to the skin, revealing the underlying skin irritation and sores. The process could result in nicks, cuts, or abrasions. Itching, skin redness, self-inflicted irritations or abrasions, and hair failure are all possible side effects of mat removal techniques. Grooming visits should be scheduled every 4-8 weeks for the best defense. By checking the box here, you realize that your pet may need to be shaved to remove matting and that you understand the risks involved.
I Agree
Accidents

Although accidents are extremely rare when working with animals, they do occur. Grooming equipment is sharp, and while we employ extra caution and care in all cases, cuts, nicks, scratches, quickening of nails, and other issues are conceivable. This is most likely to happen when an animal is wiggling or moving around. The safety and comfort of your pet is our priority. If an accident happens, you will be alerted. If the situation is critical and the owner is unavailable, Cha Cha's Dog Daycare will seek immediate medical care for your pet at the nearest veterinarian clinic.
I Agree
Authorization for Emergency Veterinary Care

In a medical emergency while in our care, this release grants ChaCha's Dog Daycare full authority to seek medical attention from your family vet (listed below) or the nearest vet clinic.
I Agree
Vet Name*
Phone Number*

Area CodePhone Number
Upload vet records

Browse Files

Cancelof
Cancellations/No Shows

An automated text is sent to remind you of your appointment (please confirm that we have the correct number on file). If you will be late for your appointment, please let us know as soon as possible. All cancellations or reschedules require at least a 24-hour notice to provide us time to fill the spot with a customer from our waiting list. Grooming appointments will be held for 15 minutes after the stated drop-off time. Appointments more than 15 minutes late may be canceled due to high demand. A $20 fee will be charged for no-shows and appointments canceled with less than 24 hours notice.
Satisfaction

Your satisfaction is extremely important to us. If you are dissatisfied with your groom for any reason, please get in touch with us within 48 hours, and we will organize a time for you to return for a free adjustment at the next available time.
Pick Up

We have limited space; please pick up within 30 minutes of grooming completion to keep all pets comfortable. After 30 minutes, if your pet is still with us, a $1.00 per minute charge will be applied.
Photographs

By signing this release form, you permit us to photograph your pet for use in customer files and for company social media.
I have reviewed this Service Contract for accuracy and understand the contents. I affirm that I am the rightful legal owner of the dog(s) for which services are rendered. I authorize this contract to be valid approval for future grooming services, permitting ongoing reservations without additional signed contracts or written authorization. I understand that pricing is subject to change. This agreement is valid for all pets that I currently own. I have read and agreed to the above. I understand that checking this box constitutes a legal signature confirming that I acknowledge and agree to the above Terms. **

Clear
Receptionists will contact you to confirm your request. Appointment requests submitted after 7 pm will be received the following businesss day.
Should be Empty:

Grooming Client Request Form

Pet #1

Pet #2

Pet #3

Vaccines

Ticks & Fleas

Matted Coats

Accidents

Authorization for Emergency Veterinary Care

Cancellations/No Shows

Satisfaction

Pick Up

Photographs