New Client 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
Service interested in - (Please select all that apply)* This field is required.Please note Pet Sitting includes Cat Sitting, other small animals e.g. and Doggy Drop ins.
Please Select
Dog Grooming
Cat Grooming
Teeth Cleaning
Puppy package
Pet Sitting
Nail Clipping
Other (please specify in notes below)
6
Pet/s Name* This field is required.If you have more than one pet please write them all down together.
7
Pet/s Breed* This field is required.If you have more than one pet please write them all down together & specify which are cats/ dogs.
8
Pet/s Age* This field is required.If you have more than one pet please write them all down together.
9
Does your Pet/s have any health concerns?* This field is required.If you have more than one pet please write them all down together.
10
Does your Pet/s have any known behavioural issues?* This field is required.E.g. If you have been notified by a previous groomer or pet sitter that your pet can be tricky to handle during the grooming or care process. Please write any issues you have at home too. If you have more than one pet please write them all down together but name the pet in question.
11
Is your Pet/s aggressive* This field is required.If you have more than one pet please write them all down together.
12
Date of Last Groom* This field is required.If you have more than one pet please write them all down together. Add N/A if not applicable
13
What is your pet's grooming schedule?* This field is required.For example: 4 weekly, 6 weekly or 8 weekly. If your pet is a puppy/kitten or hasn't been to a groomers before please let me know below. Add N/A if not applicable
14
How would you like your pet to be styled?* This field is required.For example: Teddy bear trim, Pet trim, lion clip (cats) or Breed standard. If you are unsure and would like my advice, let me know below. Add N/A if not applicable
15
Does your pet suffer from any of the following?* This field is required.
Smelly Breath
Itchy or Dry skin
Excessive Shedding
Other
None apply
Matting
16
If you are requiring pet sitting please specify what you would be looking for.* This field is required.
Cat sitting - one visit a day
Cat sitting - two visits a day
Small animal sitting - one visit a day
Small animal sitting - two visits a day
No Pet Sitting Required
17
When does your Pet need an appointment or Pet sitting?* This field is required.If you have more than one pet please write them all down together.
18
Anything else you would like to mention? (Please provide details)
Optional
19
Please upload a recent photo of your Pet/sIf you have more than one pet please add pictures of each of them.
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
Cancelof
20
The submission of this form registers your interest in the dog grooming and pet sitting services of Love to Paws.

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.

Helen and Marnie x
Should be Empty: