Club Membership Registration Form

United Groomers Registry Application Form

Complete the form below to apply to be a part of our national registry.
Name

First NameMiddle NameLast Name
E-mail
Phone Number

Area CodePhone Number
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Birth Date

MonthDayYear
A Friend or colleaugeGoogleSocial MediaOther
Pet GroomingPet BatherKennel AttendantVeterinary AssistantVeterinary TechnicianPet Care Receptionist
Please share your experience in the pet care industry:
Include: education, years of experience, any special skills, certifications, degrees, or any information that may be relevant to your career and job experience.
PhoneEmailTextAny
Please review the following information before signing:

Once you have reviewed the information please check the box below.
1. Participation in our registry is available to anyone 18 years of age or older.

2. You must be actively employed (either with a business or self-employed) in the pet care industry.

3. You will not be allowed registration if you have been terminated for animal abuse or cruelty.

4. You must notify our administators if any updates need to be added to your profile (i.e. new job, new contact information, address change, etc.)

5. Participation in this registry is at our sole discretion. We reserve the right to remove your profile for any violations of our code of conduct which you will receive upon approval of application.
I have read, understood, and accepted the above information.
Privacy Policy
Please reach out and read our Privacy Policy in order to understand how your information is used and shared, and check below if you accept the policy.
I have read, understood, and accepted the PRIVACY POLICY for registration.
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Once you submit your application, we will contact you shortly to complete your registration application.

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United Groomers Registry Application Form

Please share your experience in the pet care industry:

Please review the following information before signing:

Privacy Policy