DATE        EMAIL

CLIENT NAME 

PET(s) NAME(s) 

Phone # where you can be reached today: 

1.) Type of Bath or Dip:

         Flea Bath Medicated Bath Hypoallergenic Bath Tick Dip

Special Instructions (if any):

*IF YOUR PET IS TO HAVE A HAIRCUT PLEASE READ AND CHECK OFF WHAT
APPLIES BELOW.

(IF NO HAIRCUT IS TO BE DONE, SKIP AND MOVE ON TO SECTION #3)

2.) Type of Haircut or Clip:

Lion Cut: Shave all of the body to 1/4in. in length, leaving the head, paws, and

           entire tail or just the tip of the tail.

Summer Cut: Shave entire body (including face) to 1 /4in. in length.

Puppy Cut: Shave feet, muzzle, and tail (leaving tip of tail alone) and leaving the rest of the     
       body its same length. (A cut traditionally used for Poodles.)

I would like my pet trimmed or clipped in another way. (Please have the receptionist call
the groomer to the front before you leave, or if you’re in a hurry, please call the groomer back at
your earliest convenience so that you can explain exactly what you want your pet to have done.)

3.) Your Pet’s Temperament:  Friendly    Timid     Aggressive
In the event that your pet becomes nervous/aggressive during the visit today, do we
have your permission to sedate? (Additional $65-$85)    Yes  No

If your pet is over 7yrs old, we recommend a simple pre-anesthetic blood test to assure
he/she is in good health prior to any sedation. Do you authorize the test to be done?
(Additional $76)    Yes    No

4.) Desired time of pick-up:  

PLEASE CALL US FIRST BEFORE PICKING UP. THANK YOU.

  
     Client Signature (Please type in if submitting online. We will also need you to
sign personally in the office if you send this online.)