Grooming Registration

How did you find us?

Full Name

First NameLast Name

Email Address

example@example.com

Alternate Email Address

example@example.com

Phone Number

Please enter a valid phone number.

Alternate Phone Number

Please enter a valid phone number.

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Pet's Name

Breed

Age

Gender

MaleFemale

Spayed/Neutered

YesNo

Does your dog have any of the following?

Medical Conditions / Allergies Details

Please provide vaccination card or invoice (or scan and email to info@circlelakeranch.com). We require Rabies (Annual or 3-year) Bordetella (6-month or annual), DHLP (annual or 3-year).

Preferred Appointment Time

Is your pet matted?

YesNo

Grooming Services for this Appointment:

Basic Bath (nails not included)Maintenance GroomFull GroomDe-Shedding Treatment

Select Add-on Services (Please note some additional services may only be completed by our professional groomer. Please contact us for details. All pricing is subject to change.

Additional Comments

Signature

Please note that there is a 3.5% fee applied to all credit/debit card purchases. We offer a cash/check discount.

Grooming Registration

Pet Owner's Information

Pet Information

Returning Grooming Customer

Pet Owner's Information