Client Profile

New clients MUST complete the form below before they schedule any Appointment Requests. If you have any questions regarding this form, please Contact us.

Your Information

Name

First

Last

Mobile Phone

Home Phone

Address

Address Line 1

Address Line 2

City

State

Zip Code

Pet Information

Type

Dog
Cat (Referral Only, see note below)

Cats are groomed by referral ONLY. If you have questions regarding this requirement, please Contact us.

Pet's Name

Age

An approximate age is acceptable.

Breed

Gender

Male
Female

Spayed / Neutered

Preferred veterinary hospital

Veterinarian phone number

How often is your pet groomed?

Enter weeks between groomings, if possible.

Vaccination Expiration Dates

Specify if vaccinations are One Year or Multiple Years.

Distemper

Rabies

Bordetella

Not required unless recommended by your veterinarian

Temperament Notes

Reactions to people, other dogs, confined spaces, noises, etc.

Considerations Information Preferred

Emergency Contact

Emergency Contact - Name

First

Last

Emergency Contact - Mobile Phone

Emergency Contact - Home Phone

Special Considerations / Client Notes

Notes

Grooming Consent

With my digital signature, I acknowledge that there are certain unforeseen situations that may arise, and I agree to not hold Dana Shoffstall, Double Edge Dog, or anyone else affiliated with the business responsible for any direct or peripheral consequences of the services they provide. Such consequences may include, but are not limited to:

Transfer of dye from creative grooming to furniture, clothing, or elsewhere (we use proven products, but these incidents occur on rare occasions).
Clipper abrasions and minor cuts on matted pets which require extensive shaving, cutting, and clipping.
Incidents with older dogs who have age-related issues.

Of course, we will always endeavor to accommodate your pet no matter what the circumstances are, and we will give special consideration to each of our clients while tending to the needs of their particular situation. We will always act in good faith to ensure the satisfaction of our customers and the safety of their pets.

Your Signature

Clear Signature

By signing digitally, you agree to the terms of our Grooming Consent above.