New Customer Application Form

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Your first name: *

Your surname: *

Telephone number: *

Email address: *

Your full address and postcode: *

Your dog's name: *

Dog's breed (if known): *

Dog's date of birth: *

YYYY

Specific requests for your groom (how you like it done)

When was your dog last groomed (rough date is fine): *

YYYY

What is your dog's attitude to being groomed: *

Intense dislike, quickly becomes triggered

Dislikes it but is manageable

Tolerates some bits, dislikes others

Tolerates it all

LOVES it all

I don't know

Can I give your dog treats? *

Yes

Only certain ingredients (tell me more in the Health section)

What are your preferred days & times for an appointment? (I can't promise, but I will try to meet these)

What size is your dog? *

Small (e.g. a toy poodle)

Medium (e.g. a cockapoo)

Large (e.g. a Golden Retriever)

X-Large (e.g. a Bernese Mountain Dog)

What gender is your dog? *

Female

Male

Has your dog been speyed or neutered? *

Yes

Is your dog microchipped? *

Yes

Name and address of your vet: *

Your vet's telephone number *

Has your dog been vaccinated for Kennel Cough? *

Yes, in the last 12 months

Yes, in the last 2 weeks

Does your dog have any health conditions I need to be aware of, so I can adapt a groom to their needs? *

Where did you hear about The Artful Dog Grooming Parlour: *

Google

Facebook

NextDoor

Word of Mouth

Other

Have you read and accepted the Terms and Conditions. (Written in plain English they contain all the essential info you need to know about what to expect from our grooming service, plus information on surcharges that may apply). *

Yes

Submit

Clear form

Never submit passwords through Google Forms.

This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report

Forms