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Grooming Consent

"*" indicates required fields

Owner's First Name*

Owner's Last Name*

Email*

Primary Phone*

Number to call for pick up, if different than Primary Phone

Grooming Services

If regular grooming client, same bath and haircut as usual?*

Yes

If no, what changes?*

New Grooming Clients, please describe the type of haircut/length you are looking for.

Groomer will call if there’s any questions

Additional grooming notes and/or health concerns the groomer should know about

Can your pet receive treats while being groomed?*

Yes

Other

If other, please specify*

Additional Services

Additional charges may apply

Aloe and Oatmeal Shampoo?*

Yes

Other

If Other, please specify*

Anal Gland Expression by Vet Nurse (interior approach)*

Yes

Teeth Brushing*

Yes

Do you need more flea/tick prevention for your pet?*

Yes

Do you need more heartworm prevention for your pet?*

Yes

Additional Comments/Concerns we should know about

Preferred pick up time (we do our best, but not always possible)*

Printed Name*

Date*

MM slash DD slash YYYY

Authorized Signature*

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Comments

This field is for validation purposes and should be left unchanged.

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