New Customer Form Please take a few minutes to fill out information about you pets and the services you are looking for. Owner's Name * First Name Last Name Email * Phone * (###) ### #### Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Pet's Name * Breed * Gender * Male-Fixed Female-Fixed Male-Unfixed Female-Unfixed Birthday * MM DD YYYY Weight * Coat Type * Curly Wired Silky Long Smooth Double Coated Is there matting present in you dogs coat Yes No Not Sure Has your dog been groomed before * Yes No Does your dog have any medical conditions or behavioral issues * check all that apply Skin Allergies Skin Sensitivity On Medication Problem Areas Medical Conditions Senior Dog Anxiety Fear of Grooming Aggression None apply Add More Pets Any other information you would like to add Thank you!
