Pet Grooming Intake Form
Pet Owner's Information
Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Client address for services & where to park: NOTE: cannot be multi floor walk up due to equipment
*
May your groomer use the bathroom should it become necessary?
*
Yes
No
Do you understand that the grooming will take place in your home, or in a heated/air conditioned garage?
*
I understand
Pet Information
Pet's Name
*
Breed
*
Gender
*
Male
Female
Weight
*
Birthday
-
Month
-
Day
Year
Date
Fixed
*
Yes
No
Behavior
*
Friendly
Noisy
Biter
Shy
Fearful
Nervous
Vet address
*
Emergency Contact (Name and number)
*
Rabies Vaccine Expiration Date
*
Does your dog have any medical issues (i.e allergies, seizures, chronic ear infections etc)?
*
How often do you have your pet groomed? Has your dog had any issues with previous grooming experiences?
*
Can your pet have single ingredient treats (i.e chicken liver, salmon, and beef liver)?
*
Yes
No
Can photos be taken of your pet for social media purposes?
*
Yes
No
I understand my groomer will sweep/vacuum the immediate grooming area up completion and nothing more.
*
Yes
No
I agree to provide enough towels for the bathing and drying process.
*
Yes
No
For in-home grooming appointments, a working detachable/take-down shower head and tub are required for bathing.
*
Yes, I have a detachable/take-down shower head
No, I do not have a detachable/take-down shower head
Submit
Should be Empty: