dogtown a veterinary practice in London,

Your Contact Details

Your Full Name

Your Full Address with post code*

Mobile Number*

Example +44 7712345689

Email Address

Additional Contact Name (optional)

Contact Mobile Number

Your Dog's Details

Dog Breed*

Mixed Breed (please state here)

Dog's Name and Surname

as known with your vets

Sex*

Female Male

Colour

Approx Adult Weight (kg)

Date of Birth

What type of Coat/Fur does your dog have

e.g Doodle Coat/Short-Long Haired/Wired/Course.

Vet Information

Vet's/Practice Name

Important: If in the highly unlikely event your dog becomes ill while in our care, you must provide us with your Vets details.

Vet's Full Address Details with Post Code.

Please advise on when your dog was last groomed:

If possible, please give details of their last groom (e.g left long or shaved short because of matts etc. Thank you

Information regarding your dog's groom & behaviour

Please you could kindly complete the following questions in as much details as possible. Thank you

Do you regularly wash, brush & trim your dog's nails yourself.

Is your dog matted

Please kindly advise us if your dog is matted in any areas. (please be aware there maybe an extra cost to de-matt your dog, please see website for details).

Groom: (please explain how you would like your dog to look, e.g short overall but keep tail long).

Important Information:

Please advise whether or not you believe your dog will react to being groomed. (reactive or sensitive to legs, face etc being touched. Does your dog need to be muzzled. Please note if your dog bites or harms one of our groomers, and they need medical attention, you will be accountable for any costs, if you have not informed us regarding our dog's behaviour.

Has your dog ever bitten or tried to bite whilst being groomed? - if yes , your dog requires muzzling for the groom.

Preferred Location

Chiswick Sheen

Agree To Our Terms & Conditions

By registering & checking this box, you are acknowledging you have read Dogtown's Terms & Conditions.

Date

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