Please enable JavaScript in your browser to complete this form.First Name *Last Name *Phone *Email *Address *Address Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeIf a condo or apartment complex please tell us the name of the complex. Date Needed **We will try our best to accommodateNumber of Pets *Pet 1 InfoPet 1 Name *Pet 1 Breed *Pet 1 Birthday *Pet 1 Weight *Pet 1 Gender *Female / MaleFemaleMalePet 1 Package & Add-On's *Bath (blow dry, nail trim, anal gland expression)Haircut (includes bath above)De-Shed (3 step process that takes the undercoat out)Outline Haircut Trim (back side of arms, feet, tail underskirt & haunches)----Dremel Nails (file instead of clip)Teeth CleaningDe-MatEar CleaningOutline Trim: FFT + Body/Belly/LegsUnsurePet 1: Has your Poochie(s) shown any of the following characteristics?Aggression or Biting (not playful nature, aggressive in nature)Need to be muzzledDefensiveNervousScared of the dryer or clippersTurned down or kicked out of a previous grooming shopNoneIf answered yes to any of the above please explain belowPet 2 InfoPet 2 Name *Pet 2 Breed *Pet 2 Birthday *Pet 2 Weight *Pet 2 Gender *Female / MaleFemaleMalePet 2 Package & Add-On's *Bath (blow dry, nail trim, anal gland expression)Haircut (includes bath above)De-Shed (3 step process that takes the undercoat out)Outline Haircut Trim (back side of arms, feet, tail underskirt & haunches)----Dremel Nails (file instead of clip)Teeth CleaningDe-MatEar CleaningOutline Trim: FFT + Body/Belly/LegsUnsurePet 2: Has your Poochie(s) shown any of the following characteristics?Aggression or Biting (not playful nature, aggressive in nature)Need to be muzzledDefensiveNervousScared of the dryer or clippersTurned down or kicked out of a previous grooming shopNoneIf answered yes to any of the above please explain belowPet 3 InfoPet 3 Name *Pet 3 Breed *Pet 3 Birthday *Pet 3 Weight *Pet 3 Gender *Female / MaleFemaleMalePet 3 Package & Add-On's *Bath (blow dry, nail trim, anal gland expression)Haircut (includes bath above)De-Shed (3 step process that takes the undercoat out)Outline Haircut Trim (back side of arms, feet, tail underskirt & haunches)----Dremel Nails (file instead of clip)Teeth CleaningDe-MatEar CleaningOutline Trim: FFT + Body/Belly/LegsUnsurePet 3: Has your Poochie(s) shown any of the following characteristicsAggression or Biting (not playful nature, aggressive in nature)Need to be muzzledDefensiveNervousScared of the dryer or clippersTurned down or kicked out of a previous grooming shopNoneIf answered yes to any of the above please explain belowPet 4 InfoPet 4 Name *Pet 4 Breed *Pet 4 Birthday *Pet 4 Weight *Pet 4 Gender *Female / MaleFemaleMalePet 4 Package & Add-On's *Bath (blow dry, nail trim, anal gland expression)Haircut (includes bath above)De-Shed (3 step process that takes the undercoat out)Outline Haircut Trim (back side of arms, feet, tail underskirt & haunches)----Dremel Nails (file instead of clip)Teeth CleaningDe-MatEar CleaningOutline Trim: FFT + Body/Belly/LegsUnsurePet 4: Has your Poochie(s) shown any of the following characteristicsAggression or Biting (not playful nature, aggressive in nature)Need to be muzzledDefensiveNervousScared of the dryer or clippersTurned down or kicked out of a previous grooming shopNoneIf answered yes to any of the above please explain belowPet 5 InfoPet 5 Name *Pet 5 Breed *Pet 5 Birthday *Pet 5 Weight *Pet 5 Gender *Female / MaleFemaleMalePet 5 Package & Add-On's *Bath (blow dry, nail trim, anal gland expression)Haircut (includes bath above)De-Shed (3 step process that takes the undercoat out)Outline Haircut Trim (back side of arms, feet, tail underskirt & haunches)----Dremel Nails (file instead of clip)Teeth CleaningDe-MatEar CleaningOutline Trim: FFT + Body/Belly/LegsUnsurePet 5: Has your Poochie(s) shown any of the following characteristicsAggression or Biting (not playful nature, aggressive in nature)Need to be muzzledDefensiveNervousScared of the dryer or clippersTurned down or kicked out of a previous grooming shopNoneIf answered yes to any of the above please explain belowComments, Health issues, grooming issues or anything else you would love to tell us about your Poochie(s)?Upload a photo of your Poochie(s) Click or drag files to this area to upload. You can upload up to 5 files. **I have read and agree to Poochie's Policies. By checking the box below, you agree you have read and accept Poochie's Policies and Pricing *Yes, I agreeSubmit
