New Client Registration Form

1
Name* This field is required.
First Name
Last Name
2
Email* This field is required.
example@example.com
3
Phone Number* This field is required.
4
Address* This field is required.
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
5
Services Your Interested In* This field is required.(Please select all that apply)
Please Select
Please Select
Dog Grooming
Teeth Cleaning
Puppy Bloom Club - Introduction Package
Desensitisation Session
Nail Trimming
Other (Please specify above)
6
Your Pet/s Name* This field is required.If you have more than one pet, please include them all in the box below.
7
Your Pet/s Breed* This field is required.If you have more then one pet, please include them all in the box below.
8
Your Pet/s Age* This field is required.If you have more than one pet, please include them all in the box below.
9
Has your pet been to a groomer before?* This field is required.Please specify the reason to why you decided to change groomers. If your pet is new grooming please let us know below.
10
Does your pet have any health concerns?* This field is required.If you have more than one pet, please include them all in the box below.
11
Does you pet/s have any behavioural issues?* This field is required.For example, if a previous groomer has mentioned that your pet can be challenging during grooming, please provide details in the box below. If you have more than one pet, please specify any behavioural issues for each pet.
12
Is your pet/s aggressive?* This field is required.If you have more than one pet, please include them all in the box below.
13
Date of Last Groom* This field is required.If you have more than one pet, please include them all in the box below. Please write N/A in the box if not applicable.
14
How would you like your pet to be styled?* This field is required.For example: Fluffy Teddy Bear Trim Short, Easily Maintainable Trim Breed Standard Trim If you are unsure and would like my advice, please let me know below. Please Write N/A if not applicable.
15
Does your pet suffer from any of the following?* This field is required.
Bad Breath
Excessive Shedding
Itchy, Dry or Sensitive Skin
Matting
Other
None Apply
16
When is the best time for us to contact you?We’ll give you a call within 3 working days for a quick phone consultation to go over your registration form, answer any questions you may have, and help schedule your pet’s first appointment with us.
17
Do you have any questions that you would like to ask me?Please Note: Any questions related to pricing are not answered over social media as our prices are tailored specifically to your pet and their individual needs.
18
Please upload a recent photo of your pet/s - we would love to see them!If you have more than one pet, please up load them all - The more, The merrier!
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
Cancelof
19
The submission of this form registers your interest in the dog grooming services of Snazzy Snouts Pet Grooming.

Once your interest has been received we will be in touch to discuss and arrange booking you in.

We look forward to meeting you soon.

Chloe at Snazzy Snouts x
Should be Empty: