Name

New Client Grooming Application

Address

City

State

Zip

Birthday (mm/dd)

Month

Day

Phone

Canine Information

Name of Dog

Breed

Sex

Neutered/Spayed

Has your dog ever been groomed? before?

Do you notice any of the following in your dogs: coat?

Dryness?

Flaking?

Is it dull?

Foul odor?

Fleas?

Ticks?