Client Information & Appointment Request Form
(We will contact you if an opening becomes available on a case by case basis.) Each family's fur babies are scheduled for a private grooming session. This eliminates most of the stress that your fur child may experience so that they can enjoy their spa day. Your fur babies will be the only ones here during their spa day. With no crating or barking dogs they will be able to relax and focus on getting pampered. (Submitting this form is not a guarantee of an appointment.)
Email Address (If you use a company email address or .edu, reminder emails may go to spam.)
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example@example.com
Pet Parent’s (Owner) Name
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First Name
Last Name
Home Address
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Street Address
City
State / Province
Postal / Zip Code
Phone Number To Text You
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Please enter a valid phone number.
Alternate Phone Number
Please enter a valid phone number.
Fur Baby’s Name (s)
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Fur Baby’s Age (s)
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Fur Baby’s Weight
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Breed
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Is your pup spayed or neutered?
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Yes
No
Please list allergies to food.
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Allergies to Shampoos/Conditioners
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How often do you usually get your dog groomed?
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When was the last time your fur baby was groomed professionally?
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Does your dog need any special handling? (Aggressive, Anxious, Arthritis, Tumors, Luxating Patella, Hip Issues, Blind, Deaf, Etc.) ***IF YOUR DOG SHOWS AGGRESSION WHILE BEING GROOMED AND YOU DID NOT DISCLOSE THIS INFORMATION HERE, WE WILL ASK YOU TO COME PICK YOUR DOG UP AND/OR WE WILL NOT BE ABLE TO PROVIDE YOU FUTURE GROOMING SERVICES. We just need to know this ahead of time to better prepare for your dog and not be surprised with a dog bite.
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How is your dog around other dogs?
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We don't cage or kennel at our salon. Are you able to pick your dog up within 15 minutes of being called of grooming completion? (We will give you 15 minutes advance notice so you can be on your way to pick up your dog.) ***Please review our policies on our website about fees that may be incurred for late pick ups and late cancellations.
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Yes
No
I don't know
Does your furbaby have any matting or tangles? Please indicate where. (We need to know this so that we can block out extra time for your appointment.) ***Please review our policies on our website about fees that may be incurred for matted dog coats.
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Please describe how you would like your dog's haircut. (Please note, the term Puppy Cut does not give us very much information. Most dog groomers interpret the term puppy cut to mean one length all over on the body, but it doesn’t specify how much length should be left and/or what to do with the dog’s head, face, ears, or tail. It could be as short as shaved to the skin or as long as 2 inches or more (We currently do not accommate hair cut lengths longer than 5/8" long, show cuts, severely matted or heavily soiled). No show cuts or no shaved downs on double coated dogs. ADDITIONAL STYLING REQUESTS AT TIME OF APPOINTMENT MAY NOT BE POSSIBLE DUE TO TIME RESTRAINT.
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If you did not hear from us soon, it is because we did not have an opening. Would you like us to keep your contact information for the next 30 days so we can contact you if an opening should arise? After 30 days, your form submission will be deleted, however you can re-submit.
Yes
No
I understand that if my dog is very anxious, nervous, fearful, jumpy, ill, or aggressive that my dog may not be groomed or you may not receive a "perfect" haircut. (In this case, we may refer you to a grooming facility that is a better fit for you. [ ex. multiple groomers and/or veterinarian on location ) ***Your dog's safety comes first to us NO MATTER WHAT!
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Yes
No
Has your pup ever had a "bad" experience at a grooming salon? Please explain.
How did you find us?
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If you were referred by a current client of ours, please let us know their name and dog’s name.
Instagram or Other Social Media Site :
KEELEY IS USUALLY BOOKED 1 YEAR IN ADVANCE. Are you able to prebook your dog’s grooming appointments? Most grooming appointments are every 4-6 weeks apart. (NEW APPOINTMENTS WITH KEELEY MAY BE BEFORE OR AFTER NORMAL BUSINESS HOURS DUE TO HIGH DEMAND.)
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Yes
No
About when do you need your pup groomed?
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Month
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Day
Year
Date
What times are most convenient for you?
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8:00 AM - 11:00 AM (M-F)
11:00 AM - 2:00 PM (M-F)
2:00 PM - 5:00 PM (M-F)
9:00 AM - 12:00PM (Saturdays)
Name of Veterinary Hospital
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Phone Number of Veterinary Hospital
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Please enter a valid phone number.
Please upload a copy of your dog’s Rabies Vaccination Certificate here.
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Please upload 1 current photo of your dog.
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You can upload a short video clip to let Keeley know why you think she will be the right fit for you. (Not required but always appreciated.)
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By signing here, you are confirming you have read and understand our policies as well as our information on the services we offer and pricing.
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I understand that submitting this form is not a guarantee for an appointment.
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