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About Kate
Dog Grooming
Location
Registration
F.A.Q.
Contact
514-486-K9K9 (5959)
katek9care@gmail.com
Registration Form
Pet Parent
Name
*
Phone Number
*
Email
*
Address
*
Emergency Contact
*
Groom Services Needed
*
Desired Grooming Date
*
Month
Day
Year
Fur Baby Information
If you have more than one dog, please complete the form separately for each one.
Name
*
Breed
*
Age
*
Weight (Please indicate weight in lbs)
*
Gender
*
Male
Female
Is Your Fur Baby
*
Intact
Fixed
Birthday
*
Month
Day
Year
Updated Vaccinations
*
Yes
No
Veterinary Clinic Name
*
Medical Conditions
*
Treatment For Fleas
*
Yes
No
Treatment For Ticks
*
Yes
No
Brand
*
Exposures in the last 30 days
Fleas
*
Yes
No
Ticks
*
Yes
No
Visited a dogs park in the last 30 days
*
Yes
No
Allergies
*
Yes
No
Food Restrictions
*
Known Lumps
*
Yes
No
Lump Location
*
GROOMING INFORMATION
Shampoo & Conditioner
*
Hypoallergenic
Regular
Fragrance-Free
Skin & Coat Condition
*
Matted / Impacted
Excessive Shedding
Dirty
Dandruff
Unknown
Would like to know
Known fears, sensitive areas or past negative groom experiences
*
Any Notes or Extra Information
Submit
Home
About Kate
Dog Grooming
Location
Registration
F.A.Q.
Contact
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