Name *

First Name

Last Name

Phone

(###)

###

####

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

If your dog has been to the groomers before is there anything they dislike? *

Water/Washing

Driers

Feet being touched

Legs being touched

Nails

Ears being touched/cleaned out

Face being handled/touched

Wrinkles being cleaned out

Nothing/N/A

Other