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Home
About Me
My Services
Dog Grooming
New Client Form
Shop for Dogs
Pricing
FAQ
Journal
Contact Me
Grooming Client Form
Please only complete the below form prior to your newly booked appointment.
Please enable JavaScript in your browser to complete this form.
Your Dog's Information
Dog's name
*
Gender
*
--- Select Choice ---
Female
Male
Neutered
*
Yes
No
Breed and weight
*
Date of birth, or approximate age
*
Your Information
Please ensure that someone is contactable at all times during your dog’s appointment in the event of an emergency or unexpected issue. Appointment Reminders and communication will be via phone/text.
Name
*
First
Last
Phone
*
Email
*
Emergency Contact Name
*
First
Last
Emergency Contact Phone
*
Emergency Contact Email
*
Medical & Behavioural Information
Name of Vet
*
Vet's Phone
*
In the unlikely event of an emergency, do you give permission for your dog to be taken to the nearest available vet, which might not necessarily be your own?
*
Yes
No
Did your dog complete their puppy vaccinations?
*
Yes
No
It is mandatory that all dogs have had, at the very minimum, their full course of puppy vaccinations up to 12 weeks of age before grooming.
Please note, annual boosters after the initial puppy course are entirely the owner’s personal choice. However, failure to keep your dog up to date with boosters may nullify any insurance you hold, and accepts no responsibility for any conditions arising from a dog being unvaccinated.
Newsletter Terms, Signature
Is your dog currently on any medication?
*
Does your dog require any special creams or shampoo/products for his skin?
*
Has your dog ever suffered a seizure (that you are aware of)?
*
Has your dog ever shown any behavioural or aggression issues in the past, whilst being groomed?
*
Please give full disclosure, such as body areas your dog is protective over and what level of aggression.
Please note, I am not a groomer who specialises in behavioural issues and reserve the right to either refuse to groom your dog or halt the process at any time, if I feel things are getting out of control and your dog is getting overly distressed.
Additional Information
Do you grant your permission for me to post pictures of your dog on my business social media or website?
*
Yes
No
Any additional information you would like me to know, as your dog’s groomer?
Signature
Clear Signature
Do you give permission to receive our Quarterly Newsletter via email? (You can opt out at any time)
*
Yes
No
Please ensure that you’ve read my Terms, Conditions and General Information document
*
I agree to your Terms & Conditions
Continuing to book my services after receiving the
Terms, Conditions and General Information document
document, will assume you agree to the terms enclosed going forwards.
Send