Grooming Request Form CLIENT INFORMATION Name Phone Address City State Zip Email Cell Phone Emergency Information Person who can make decisions for your dog if we can not reach you Phone How were you referred to us? ---InternetYellow PagesVet's OfficeHolland SentinelObserverFriend/FamilyOther PET INFORMATION Dog's Name Breed Color Dog's Gender MaleFemale Spayed or Neutered? SpayedNeuteredNone Date of Birth Veterinarian Phone Vaccinations have been faxed by the Veterinarian YesNo They must be faxed to 269 857-8379 Groomer Preference: ---VeronicaBeckyChristyFirst Available Select One: ---SpaSpa Plus Spa Includes: Bubble bath, de-tangle, ear wash, hand blow dry, style and nail trim/file Spa Plus Includes: All of the above plus cut/trim/neaten. Grooming Instructions Build A Spa- Choose this option if you want your dog to have a bath. You may add any of the following to customize your Spa or Spa Plus Stress Free Grooming $10 Toothbrush $5 Blueberry Facial $3 Pad Protector $3 Paw-ti Toes $10 painted toe nails on front feet Warm Oil Ear Cleanse $5 Hygiene Trim $6 Neat Feet $6 Light Trim $10 includes all that apply, plumes on legs and tail, neat feet and/or face trim Heavy Trim $12 includes all that apply, plumes on legs, tail, neat feet, hygiene cut and/or face trim De-shed $10 includes extra brushing and special shampoo/conditioner Shave Down begins at $10 Zoom and Groom $12 Thank you for trusting your beloved pet to Dogs Bay Grooming! The groomer will call or email you promptly to schedule your appointment and discuss grooming specifics. Please Note: If you do not receive confirmation, please check your Spam Folder. Please call us if you do not receive confirmation and we recommend adding Dogs Bay's email to your not spam list. Your Message Effective Oct. 8, 2015 there will be a 2.5% surcharge on all credit card transactions. We are often asked and YES you may tip your groomer.