Dog Grooming Intake Form

Dog Grooming Intake Form

Thank you for choosing our grooming services! Please provide us with the necessary information about your pet.
Pet Owner's Information
Full Name

First NameLast Name
Email Address
example@example.com
Phone Number (Text)
Please enter a valid phone number.
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Pet Information
Pet's Name
Pet's weight
Breed
Age
Gender

MaleFemale
Spayed/Neutered

YesNo
Please list any medical conditions behavioral conditions and any anxiety your pet may have associated with grooming. Please list how many weeks since their last groom and how many weeks apart you would like your rotating schedule to be.
Up to date rabies paperwork I

Cancelof
Please upload a goal photo of the type of haircut you are seeking.

I
Cancelof
Current photo of you pet from the side profile of them standing with no clothes on. I want to see the entire side profile of your dog so I can judge its current condition.

Cancelof
Grooming Services
I do not groom dogs with fleas. Do you understand that if you show up to the appointment with fleas there will be a no show fee. Your appointment will be canceled and the entire amount of the appointment will be due if fleas are discovered outside before the appointment starts. If discovered during the appointment then a $200 charge in addition to the appointment will be due at pickup.

Yes, I completely understand. I have my dog on a monthly preventative. Not a problem.My dog has fleas, I need suggestions on what to do before I schedule an appointment.
Have you looked over my pricing brochure and business policies on my Facebook pinned at the top of the page?

YesNo
I require 48 hour notice of cancellation. I agree to read your cancellation policy and abide by it to the best of my ability.

YesNo
Are you seeking a 6-week or less rotating grooming schedule?

YesNo
Additional comments, additional questions,etc.
/s1
Have you or your pet ever been kicked out of a grooming salon for bad behavior? If yes please elaborate in the additional comment section above.

YesNo
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Dog Grooming Intake Form

Pet Owner's Information

Pet Information

Grooming Services