New Client Registration Form
If you are a interested in becoming a client, please fill out the required information below. Once I have your information and review the form, I will give you the ability to book your appointment using my online calendar. This will allow me to give your canine the appropriate amount of time for proper grooming.
Owner Information
*
First Name
Last Name
Phone Number
*
E-mail
*
example@example.com
Address
Dog's Call Name:
*
Dog Breed:
*
Dog's Age
*
If your dog is under 1, please use 0.# to indicate months in age.
Dog's Weight
*
Weight in lbs.
Known Health Issues:(if none, leave blank)
Shampoo Preferences
Please Select
Regular
Medicated
Ultra Clear
Upload an image of your pet:
*
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