Grooming Request Form

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This form is to be completed for any requests for grooming. Note that we do not offer spa or grooming services at this time, but would like to create a list of needs.

Note: A receipt from this form is not sent to the client after completion.

Type of grooming request *

Welcome center/retail store walk-in

Public clinic client

Client initiated call

Outreach visit

Shelter diversion

Other:

Owner's last name *

Owner's first name *

Owner's street address *

Owner's zip code *

62201

62203

62204

62205

62206

62207

Other (Note: This form should only be submitted if clients live in the zip codes above)

Owner's phone number (include area code) *

Owner's email address

Include name, age, estimated weight and species of pet(s) in need of grooming services *

List the type of grooming request *

Full shave down (dog is matted or owner prefers shave down)

Medicated bath (animal has medical need for grooming, including mange, scabies, allergies, etc.)

Routine grooming (animal is regularly groomed, but needs an appointment to maintain appearance)

Bath & Nail Trim Only (animal simply needs a bath)

Other:

Required

Additional Notes

Name of person who submitted this form *

What happens next?

We do not currently offer spa or grooming services at this time, but have added you to our list of clients requesting these services. For urgent cases, we will try to find a solution to improve the pet's quality of life.

When our pet spa is open and we are taking clients, we will give you a call and let you know how to schedule an appointment.

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