Grooming Request Form

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ALL GROOMING MUST BE PREPAID. WE MUST HAVE ALL REQUIRED DOCUMENTATION
RECORDS (Listed Below) BEFORE WE WILL MAKE A GROOMING APPOINTMENT.

Please list the best phone number to reach you. Please make sure your voice mail is set up and will accept messages.

We send reminder notifications and confirmations by email, so please ensure it is entered correctly.

Have we groomed your pet(s) before? *

Yes, within the last 6 months.

Yes, more than 6 months ago.

No. I am a new customer to Pet Haven.

Customer Information

Your Name *

Address *

City *

State *

Zip *

Phone *

Email *

Emergency Contact Name *

Emergency Contact Phone *

Pet Information - Please list all pets you might bring to us.

Pet #1 Name *

Pet #1 Breed *

Pet #1 Approximate Weight *

Pet #1 Age *

Pet #2 Name

Pet #2 Breed

Pet #2 Approximate Weight

Pet #2 Age

Pet #3 Name

Pet #3 Breed

Pet #3 Approximate Weight

Pet #3 Age

Pet #4 Name

Pet #4 Breed

Pet #4 Approximate Weight

Pet #4 Age

Veterinarian Information

Please call your veterinarian's office and have them send us a current copy of all the following vaccinations, including a veterinarian signed rabies certificate. We must have a copy of current vaccinations in our office by email or paper before any grooming appointment
will be made. Email records to records@pethavenpets.com

Required Documentation Records Needed
- Pet Haven’s Client/Pet information form
- Current Rabies (Certificate must be signed by veterinarian)
- Current Distemper Parvo
- Current Bordetella (kennel cough)
- Current Negative Fecal Result (Boarding Request only right now)

I have read and understand this statement.

Veterinarian Clinic Name *

Veterinarian Clinic Phone Number *

Grooming Directions

Please describe what type of cut you would like for your fur baby.

Please keep in mind that cuts(grooms) will depend on your pet's coat condition at time of grooming. There will be extra fees for matting, nippy, and difficult dogs.
*

I have read and understand this statement.

Grooming Directions *

We will give you a call with our 1st opening. Just a reminder that we will need all Vaccination records on file as well as our client information form before any grooming appointment will be made.

Thank you!

Pet Haven

I have read and understand this statement

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