Grooming Intake form

Hello! Please take a brief moment to fill out the questionnaire to create your contact account. Filling out your pet will prompt me to create a pet profile for you. If you have additional pets you would like to include, please include all the same information in the notes section under "Additional Pets."

Contact information

First Name

Last Name

Mobile Number

Address Line 1

Address Line 2

Zip/Postal Code

City

State/Province

Country

Other Information

Name of Pet:

Dog Breed:

Date of Birth:

Gender:

Spayed/Neutered:

Coat Color:

Current On Vaccines?:

Additional Pets In Houshold?:

Allergies:

Are you or your pet allergic to any perfumes? Different shampoos have different fragrance, and we do offer an unscented version of shampoo upon request.

Appointment preference:

Please list your preferred days/times that you would like your pet groomed. Please remember that my hours are evenings and weekends.

Note:

Please let me know what your grooming goal is.