New Grooming Client Form

Full Name
*
Email Address
*
Address
*
- Street Address
- Address Line 2
- City
- State / Province / Region
- Postal / Zip Code
- Country
Mobile Phone Number
*
Home Phone Number
How would you prefer to receive notifications and reminders?
*

Phone
Email
Text
How did you hear about TNT Groom and Train? If referral, who?
*
Pet's Name
*
Breed/Mix
Spayed/Neutered
*
Yes
No
Sex of Pet
*
Male
Female
Approx. Weight
*
Birth Date/Age
*
Vet's Name & Phone Number
*
Vet's Address
Does your pet have any medical conditions? If so, please list them below.
*

Yes
No
Medical Conditions
Is your pet currently on any medications? If so, please list them below.
*
Yes
No
List of Medications
Does your pet have any sensitive areas? (e.g. sanitary area, back, paws, etc.) or is your pet sensitive to any grooming procedures (e.g. ear cleaning, nail trimming, etc.)? If so, please specify below.
*
Yes
No
Sensitive Area/Procedure
Has your pet been to a groomer before? If so please list your previous groomer or your reason for choosing a new groomer.
*
Yes
No
Previous Groomer/Reason for Changing?
Does your pet become uncomfortable, aggressive, and/or scared during the grooming process? If so, please specify below.
*
Yes
No
I'm not sure
What is the trigger?
Pet Parent Signature
*
Date