502-835-5805

First name*

Last name*

Email*

Phone*

Dog Name*

Breed*

Age*

Weight*

Has your dog been professionally groomed before?*

Yes

No

Do you comb your dog weekly?*

Yes

No

Does your dog have any health conditions?*

Yes

No

If so, please explain.

Do you want anal gland expression?*

Yes

No

Do you want the hair plucked from the ear canal on your dog?*

Yes

No

Does your dog dislike anything about grooming?*

Do you sedate your dog for grooming??*

Yes

No

Instructions or special requests?

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