Owner's Name:                                      Email Address:
    

Street:    City:    Zip Code:  
 

Home Phone:     Cell Phone: 
   

All pets must present proof of vaccination to include Rabies, Distemper/Parvo & Bordatella. You or Your vet can fax them to 822-3648 or you can bring in a copy the day of grooming

Requested Date:          You will recieve an email confirmation

Requested Service:  Full Groom Yes No <\SELECT> Estimate can be requested at drop off  

Bath Small $15.00 Medium $20.00 Large $25.00 <\SELECT> add an additional $10.00 for long coats   Nails Yes No <\SELECT>

Requested Groomer  Any Available Kim Shay <\SELECT>

Your pet must be picked up within 45 minutes of being notified he is ready. Pet's staying longer than 45 minutes will be moved into daycare at an additional $7.00

 Has your pet been groomed by us before?  Yes No <\SELECT>    If yes, you don't have to fill out your pets information unless it has changed.                            

Pet

Name:                              Breed:                      Color:                    Age:
            

Spayed or Neutured?  Yes No <\SELECT>   Veterinarian Hospital:      
                                                            
Additional Pet

Special Request:

. . .