Client ApplicationPlease fill out this form completely as possible. This will help us determine if we have an availability in your area, and if your small dog is a good fit for our services. We do not groom cats, large breed dogs at any age, nor do we do nail trim only appointments. If you would like to download our application and send it in later, click here. NOTE: Any information provided is confidential and no information is shared with third-parties.Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Owner's Name *FirstLastGrooming Address *Address Line 1Address Line 2City--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodePlease put the address where your dog is to be groomed.Home Phone *Cell Phone *Email *Pet InformationFirst Pet's Name *First Pet's Breed *If you do not know your dog's breed, just put "Mixed"Pet's Age *Pet's Weight *Dog's over 30 Ibs will not be eligible for grooming.Desired Grooming Schedule *Every WeekEvery 2 WeeksEvery 4 WeeksDoes Your Dog Have Any of the Following Issues? *No Known Health/Skin IssuesMatting Require Extensive Shaving or DemattingAnxietyBitingIncontinenceSkin IssuesFleas or TicksEar InfectionsBlindnessCheck all that apply.Comments or Additional InformationPlease provide any additional information about your pet's health, skin issues or behavior that would be helpful in qualifying your pet for our grooming services.Do You Have Additional Dogs Your Would Like Groomed? *YesNoAdditional Pet InformationIf you have more than one dog that you would like to have groomed, please fill out this informationSecond Pet's Name Confirmation Behavior Second Pet's AgeSecond Pet's WeightSecond Pet's Health or Behavior ConditionsPlease describe any health, skin or behavior conditions your second dog may have.Third Pet's NameThird Pet's AgeThird Pet's WeightThird Pet's Health or Behavior Conditions Please describe any health, skin or behavior conditions your third dog may have.Vet InformationIs Your Dog(s) Up-to-Date on All State Required Vaccinations? *YesNoUnknownVet Clinic/Veterinarian *Vet's Phone *Texas State Law requires all dogs be up-to-date on rabies vaccinations. Until you can show that you have updated your dog(s) vaccines, we will not be able to consider your pet for grooming. ConfirmationIf we need more information about your pet and your grooming needs, we will contact you. After review, we will inform you of your status and if accepted, a grooming date and time. Subsequent grooming times and dates may not be the same as before, as we are establishing our schedules, and we may adjust groom times and dates based upon the most efficient routes for your area. Please note that scheduling will be on a 1, 2 or 4 week basis. Clients wanting to go longer than 4 weeks or to be on an on-call basis will not be accepted. The information I have provided is true and to the best of my knowledge. *I confirm.Applicants Name *FirstLastSubmit My Application
