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Grooming Check-In Form
Client Name___________________________ Date:_____________
Contact Phone: _____________________________ Pet’s Names: _______________
Please check all that apply
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Yes
Age:__________
Explanation (please be descriptive)
Would you like your pet to have a Bath & Brush
☐ ____________________________________
Would you like for your pet to have a Bath & Cut
☐_____________________________________
o Length of hair wanted? ☐ #3 = ¾ inches ☐ #4 = 3/8 inch ☐ #5 = ¼ inch ☐ #7= 1/8 inch)
Would you like a typical cut for the breed?
☐_____________________________________
☐_____________________________________
☐_____________________________________
☐_____________________________________
Is your Pet allergic to anything?
Is your pet on a monthly flea preventative
Do you have any special concerns or requests
OPTIONAL ADD ON OPTIONS - PLEASE CHECK ALL THAT YOU WOULD LIKE YOUR PET TO HAVE:
Spa Services: Please note that additional charges may be applied due to coat condition (e.g. matted).
☐Shed-less Treatment ☐Nail Trim Only ☐Teeth Brush ☐Medicated Treatment ☐ Nail Grind ☐ Gland Expression
☐Sanitary Trim
☐ Flush Ear
☐ Nail Paint
☐Topical Flea Treatment ☐ Mat Removal
☐Shave Down- Please sign here if you would like the groomer to shave your pet if there is extreme matting and it cannot
be removed: ____________________________________________________________________
Spa Package Add- On- This is in addition to the Cut or Bath request above:
☐Silver Package: Oatmeal Shampoo, Re-Moisturizing Conditioner, and Teeth
$15.00
☐Gold Package: Milk Bath or Seasonal Shampoo, Conditioner, Teeth
$17.00
☐You Pick 3: Upgraded Seasonal Shampoo, Dremmel/Nail Grind, Teeth, Nail Paint (please circle which 3)
$20.00
Note: If fleas are found on your pet, we will administer a topical medication, at an additional charge. It will kill all fleas
present. We do this in the best interest of your pet as well as others in the facility.
Owner Acknowledgement
I understand that I will pay a grooming fee for the base services I have requested for my pet and I will incur additional fees for any of
the above ancillary services that I have requested. I further understand that if I do not pick up my pet by the close of business, I will
incur boarding rates per the standard rate sheet. I understand that if my pet is extremely matted, he/she may require a shave.
We recommend that you have your dog groomed every 6 to 8 weeks, would you like for us to make your next appointment
today?
YES
NO
Please leave a name and number where someone may be reached to make decisions if the groomer has additional questions or
information about your pet.
Signature ___________________________________Phone#___________________ ☐Call Me When My Pet is ready for Pick-Up
Your pet will be ready for pick-up no later than 4:30 pm.