Client & Pet Information
Client (First and Last Name)
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Pet Name
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Breed
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Gender
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Male
Female
What is your dog's age? (if exact age is unknown please indicate the approximate age range)
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How much does your dog weigh? (if exact weight is unknown please indicate the approximate weight range)
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Do you have any health concerns for your dog? (physical limitations, past surgeries, skin issues, age related concerns?)
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Do you have any behavior concerns for your dog?
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Is your dog ok with seeing and interacting with other dogs?
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Can your pet have treats? Are there any potential food allergies we should be aware of?
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Does your pet have any skin allergies or sensitivities? Have they ever had a reaction to shampoo or products?
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Primary Vet Clinic
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Latest Rabies Shot Expiration Date (We cannot accept a dog who is not current on their rabies shot)
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Month
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Day
Year
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Additional Information (please list any dog siblings here)
Your Dog's Visit
The Bathing Package includes: ** Thorough bathing and cleaning with high quality Shampoo ** Ear Cleaning (& plucking if needed) ** Complete blow dry by hand (we do not use cage-dryers) ** Complete brush out ** Haircut as discussed ** NAIL TRIM (always as short as possible!) The Full Groom (Haircut) Package Includes : All of the above & ** Haircut as discussed Lots of love and pampering!
When was the last time your dog saw a groomer? (if exact date is known please list in "other")
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Less than 4 weeks
4-5 weeks
6-8 weeks
8-12 weeks
Never
Unknown
Do you have any notes about your pet's haircut to share? Since we are trying to limit contact time, please describe as thoroughly as possible what you hope to accomplish at your pet's grooming session. Please describe haircut goals, things you like or don't like, ideas you have or any concerns you have about your pet's grooming session. Also feel free to email us pictures of looks you like (from your personal archive or google!), even things you don't like are helpful!
Please indicate which deluxe add-ons you are interested in including during their grooming:
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Nail Grinding (+$6) --- Nails are buffed smoother and shorter after trimming
Tooth brushing (+11) --- Teeth are brushed with specialty toothpaste just for dogs
De-shedding Treatment (+16) --- Use of Furminator conditioner and Furminator brush to aid in removal of excess undercoat
Whitening Shampoo (+6) --- Shampoo used on white colored fur to help keep their coat from staining
Flea & Tick Shampoo (+6) --- Shampoo used for dogs with fleas and ticks. This kills the adult fleas and ticks. This does not kill eggs. This does not keep future flea and ticks away
Hypoallergenic Shampoo (+6) --- Shampoo with no scent for dogs with allergies or sensitive skin
Oatmeal Shampoo (+6) -- Shampoo that eases itching in dogs with flaky / dry skin
Medicinal Shampoo (+6) --- Shampoo for use in dogs with raw or damaged skin to aid in with healing
De-Matt Conditioner (+6) --- Conditioner that aids in the process of de-tangling de-matting and
Gland Expression (No Extra Charge) --- Does your dogs glands need to be expressed?
Express Service (+$15) - - - An appointment option where we work on your dog straight through to minimize time spent at the salon. This option is best for older dogs and anxious dogs. Please indicate that you would like this service when scheduling your appointment.
No Extra Add-ons
Any Additional Information You Would Like Us To Know For Your Dogs Grooming Appointment
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