Email*

Cell Phone #*

Customer Name*

Dog's Name*

Breed of Dog*

Age of Dog*

Approximate Weight of Dog*

When Was Dog Last Groomed?*

How Often Do You Want Dog Groomed?*
2 Weeks4 Weeks

2 or 4 Weeks Only - Pre-Booking Required (Monthly is my maximum schedule)

Health and Behavioral Issues*

Name and Phone # of Veterinarian *

Cancellation Fee *
I Agree

Appointments Must Be Kept. There Is A $50 Charge For Appointments Canceled Less Than 48 Hours Before Time of Service. I Have Read And Agree To This Policy.

Special Requests or Instructions?

How Did You Hear About Me?