Current Client Membership Application

1

Full Name* This field is required.

First Name

Last Name

2

E-mail* This field is required.

E-mail

Confirm E-mail

3

Phone Number* This field is required.

Cell

4

Address* This field is required.

Street Address

Street Address Line 2

City

State

Zip Code

Country

5

What type of service(s) are you looking to schedule? Check all that apply.* This field is required.To find out more about our services, please visit www.tamedmanesgrooming.com/memberships

Bath Membership

Haircut Membership

Non-member Haircut Service

Non-member Bath Service

I'm not sure

6

Which contact method do you prefer?* This field is required.Check all that apply

Text Message

E-mail

7

Pet's Name, Breed, Date of Birth, and Weight* This field is required.If your pet is more than one breed or unknown, input the breed your pet most resembles and add the word "mix" at the end. If you're unsure about your pet's date of birth, put their approximate age.

8

Does your pet(s) have any sensitivities?* This field is required.Examples: Nibbles, Wiggly, Vocal, Nervous, Shaky, Touch Sensitivities, Etc.

YESNO

9

Please explain your pet's sensitivities in as much detail as possible* This field is required.

10

Would you be open to working with our virtual behaviorist?* This field is required.For more information, please visit https://www.tulsapackathletics.com/intensive

YESNO

11

Please list medical concerns, known allergies, or special conditions, if any.Certain medical conditions may warrant communication with your dog's veterinarian to ensure your pet's safety during the grooming process.

12

Please select the days that are most convenient for your dog's appointment.* This field is required.We will do our best to honor the days/times you request, but they are not guaranteed.