Grooming Form

*ALL PETS MUST BE UP-TO-DATE ON ALL REQUIRED VACCINATIONS:
Dogs: Rabies, DHLPP, and Bordetella
Cats: Rabies and FVRCP

Grooming Instructions

Owner's Name _____________________

Pet's Name ________________________

Breed ____________________________

Contact Number ____________________

Pick-up Time ______________ AM  PM


Please complete the following by circling your option:
Top of Head
Face
Body
Legs
Ears
Feet
Tail

Special Services
Please circle if you would like any of these:
Flea Dip  $5.00    Do you want flea protection applied?  yes  no
Medicated Shampoo  $5.00
Teeth Brushed  $5.00
Conditioner  $3.00
Medicated Conditioner  $5.00
Allergy Conditioner  $5.00
Complete Pedicure with Filing  SM $5.00  MED $7.00  LG $10.00

Special Instructions _____________________________________________________________

____________________________________________________________________________

Date ________________________    Signature ______________________________________