Grooming Profile & Contract
This form is for one pet ONLY. If you have multiple pets, please fill out a separate form for each pet individually. This is for clients only interested in our grooming services. If you are interested in boarding, daycare or training along with grooming then please fill out our Pet Profile and Agreement.
Email address *
Owner Information: Name *
Your answer
Owner Information: Street Address *
Your answer
Owner Information: City *
Your answer
Owner Information: State *
Your answer
Owner Information: Zip Code *
Your answer
Owner Information: Home Phone Number *
Your answer
Owner Information: Cell Phone Number *
Your answer
Owner Information: Work Phone Number *
Your answer
Owner Information: Email Address *
Your answer
Emergency Contact (Should not be the same as above): Name *
Your answer
Emergency Contact (Should not be the same as above): Phone Number *
Your answer
Emergency Contact (Should not be the same as above): Alt Phone Number *
Your answer
Emergency Contact (Should not be the same as above): Relationship *
Your answer
Additional person(s) authorized to pick up pet(s): Name *
Your answer
Additional person(s) authorized to pick up pet(s): Phone Number *
Your answer
Additional person(s) authorized to pick up pet(s): Name *
Your answer
Additional person(s) authorized to pick up pet(s): Phone Number *
Your answer
How did you hear about Tails R Waggin'? (please select one) *
If you were referred by an existing client, please provide the name of the client. We'd love to reward our customer with a free day of daycare:
Your answer
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