Customer Application

We are currently accepting new clients with small to medium size dog breeds. Please take a moment to fill in our questionnaire and tel us about your pet. We will be in touch!

Name

Email

Phone

Dog's Name

Breed

Dog's Weight

Dog's Age

Spayed/Neutered

Yes No

Why are you looking for a new groomer?

When was your pets last professional grooming appointment?

Does your dog have any behavioural concerns such as separation anxiety, excessive barking, nervous, aggression, reactive?

Does your pet require veterinary medication for grooming appointments (ie: sedatives)?

Does your pet have any Medical Concerns?

Is your pet up to date on vaccines?

Is your pet on a flea/ tick prevention from April- November? Which brand?

What do you feed your dog?

Any additional information about your dog you would like us to know? ie. any problems with grooming ? Does he like his feet touched? Scared of loud noises? Can’t be kenneled? etc..

When are the best days to schedule? We groom by appointment only, please check all that apply.

Monday Tuesday Wednesday Thursday Friday Saturday (currently unavailable)

How often do you get your pet groomed professionally?

4 weeks or less 4-6 weeks 7-10 weeks 4 times per year

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(519) 387-7762

Durham, West Grey, Ontario

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