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Grooming Registration Form

Basic Information

First Name *

Last Name *

Email *

Address *

City *

State *

Postal code *

Emergency Contact Name *

Emergency Contact Phone *

Vet/Office Name: *

Vet Phone *

Dog's Information

Dog's Name *

Dog's Breed *

Dog's Age *

Dog's Weight *

Spayed or Neutered? *

Yes
No
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Dog's Coat Color *

Dog's Coat Type *

Dog Microchipped *

Yes
No
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Any allergies or dietary restrictions: If yes, please explain: *

Any health concerns? *

Dog’s History *

Behavior Concerns *

How long ago was your dog last groomed *

Why are you looking for a new groomer? *

How Did You Hear About Us? * *

Google

Facebook

Instagram

Newspaper

Referral - let us know who!

Other

Referral Name / Other Explanation Please let us know who to thank!

Availability for Appointments

Grooming Flexibility - Mondays *

Monday mornings work best for me
Monday mid-day works best for me
Mondays are a maybe
Mondays I cannot do
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Grooming Flexibility - Tuesdays *

Tuesday mornings work best for me
Tuesday mid-day works best for me
Tuesdays are a maybe
Tuesdays I cannot do
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List is empty.

Grooming Flexibility - Wednesdays *

Wednesday mornings work best for me
Wednesday mid-day works best for me
Wednesdays are a maybe
Wednesdays I cannot do
No elements found. Consider changing the search query.
List is empty.

Grooming Flexibility - Thursdays *

Thursday mornings work best for me
Thursday mid-day works best for me
Thursdays are a maybe
Thursdays I cannot do
No elements found. Consider changing the search query.
List is empty.

Grooming Flexibility - Fridays *

Friday mornings work best for me
Friday mid-day works best for me
Fridays are a maybe
Fridays I cannot do
No elements found. Consider changing the search query.
List is empty.

Grooming Flexibility - Saturdays *

Saturday mornings work best for me
Saturday mid-day works best for me
Saturdays are a maybe
Saturdays I cannot do
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List is empty.

Services You're Interested In

What services are of interest to you? *

Nail Trimming/Grinding

Bath & Brush

Bathing with light trimming

Full Body Haircuts

Specialized Shampoos & Conditioners

Ear Cleaning

Teeth Brushing

Breed Specific Haircuts

Deshedding Treatments

Medicated Anti-Itch Treatments

Vet Records

Please upload your dog's vet records, including vaccine records. *

Rabies Expiration Date *