GROOMING PROFILE AND AGREEMENT

Name
eMail
Address
Address
City
State
Zip Code
Home Phone
Work Phone
Cell Phone
Cell Phone
Employer
How did you hear about Tails R Waggin?
Referral
If a referral, please provide name; we'd love to reward our customer with a free day of daycare.
Yellow Page Ad
Web Search
Vet
TV
Drive By
Other
If other, please specify

Emergency Contact (Should not be the same as above)
Name
Relationship
Phone
Cell Phone

Pet Information
Name
Nickname
Breed
Color
Male/Female
Birthdate
Weight
Is your pet spayed/neutered?
Yes
No
Tails R Waggin prefers your dog over the age of 6 months to be spayed or neutered; otherwise, they may have to be kept separated from play groups and a special daily handling fee may apply.
Method of Heartworm protection
Current
Yes
No
  • Any health concerns?
  • Medications (dosages, frequency, etc.) for grooming
  • Any allergic reactions that our groomers should know about?
  • Has your dog been abused by anyone?
  • Has your dog/cat had any seizures or have any neurological disorders
  • Is your dog stressed in a wire cage? Yes No
  • Dryer Cage? Yes No
  • Is your dog stressed on a table? Yes No
  • In a bath tub? Yes No
  • Is your dog afraid of being picked up? Yes No
  • Afraid of clippers? Yes No
  • Can your dog be in a cageless grooming room?
  • Can your dog be with other dogs?
  • Can your dog be touched/handled without stressing him/her on the follow: face, feet, rear?
  • Has your dog bitten anyone while being groomed? Yes No
  • How long have you been having your dog groomed?
  • How often do you groom your dog?
To avoid delays checking in, please bring a copy of vaccination records with you or have your veterinarian fax us a copy prior to your arrival. The minimum requirements are as follows:
  • Dogs:
    • Rabies, DHLPPC (distemper combo) yearly
    • Bordetella - given within 8 months of grooming
    • Negative fecal in the last 6 months or deworming within 30 days of grooming
  • Cats: FVRCP & Rabies
Name of Animal Hospital/Veterinarian:
Doctor:
Phone Number:
Web Site Programming By T. Weiss