Pet's Name

Owner's Full Name

Home Phone

Cell Phone

E-mail Address

Breed of Dog

Hair Length

Last grooming was 0-3 months ago 4-6 months ago 7+ months ago

Does your dog have mats? Yes No
No charge for the first 15 minutes or less of dematting. More than 15 minutes will be charged at $45/hour.

Ear flush ($10) Yes No

Preferred Date Please note: Appointments made for today cannot be accepted.

Preferred Time 9 a.m. 10 a.m. 11 a.m. 12 p.m. 1 p.m. 2 p.m. 3 p.m. 4 p.m.

Alternative Date

Alternative Time 9 a.m. 10 a.m. 11 a.m. 12 p.m. 1 p.m. 2 p.m. 3 p.m. 4 p.m.

Services Needed All dogs receive two baths, cream rinse, nails trimmed, ears cleaned, and anal glands expressed. Bath Only Bath and Haircut

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