CARE ANIMAL CENTER

GROOMING REGISTRATION FORM

Today's Date:

Owner's Name:

What Number Can We Reach You At Today?:

Owner's Address:

Street 1:

Street 2:

City:

State:

Zip:

Are You A New Grooming Client?

Yes

Do You Have A Preferred Groomer?

Yes

If "Yes", Please Specify Preferred Groomer:

What Is Your Pet's Name?:

What Is Your Pet's Breed?:

What Is Your Pet's Approximate Weight?:

Is Your Pet Matted?:

Yes

Does Your Pet Require Sedation For Grooming?:

Yes

Type Of Groom You Desire For Your Pet:

Date You Wish To Drop Off Your Pet At Care Animal Center:

Time You Wish To Drop Off Your Pet At Care Animal Center:

Date You Wish To Pick Up Your Pet:

Time You Wish To Pick Up Your Pet:

Do We Have Your Pet's Shot Records? If Not, Please Have Your Veterinarian Fax Them To Care Animal Center, 48 Hours Before Boarding Date. (334-794-6333).

By Clicking The "Submit" Button, I Certify That I Understand All Of The Following: All fees are due and payable upon completion of services. A cancellation charge will be added to my next groom for a no-show. Fee does not include gratuity.