Owners DetailsOwners Name *Address *Town *Postcode *Contact Number *Email Address *Emergency Contact Name and Phone Number *Not ownerHow did you hear about The Dog HouseWord of MouthRecommendation from an existing customerVetSocial MediaAdvertYour Vets DetailsVeterinary Surgery *AddressTelephone NumberIs your dog insured?YesNoDog DetailsName *Birthday/date you got your dogHow long have you owned the dog? *Where did you get your dog from? *BreedAgeColourGender *MaleFemaleNeutered *YesNoLast flea/worm treatment givenPlease note, if your dog wears a flea collar this needs to be removed prior to your grooming appointmentBehaviourHow does your dog behave around the following:Children *PoorAverageGoodNot SureMen *PoorAverageGoodNot SureWomen *PoorAverageGoodNot SureMale Dogs *PoorAverageGoodNot SureFemale Dogs *PoorAverageGoodNot SurePuppies *PoorAverageGoodNot SureHas your dog ever bitten or attacked anyone, including previous groomers? *Has your dog ever been banned from another groomers? *Has your dog ever bitten or attacked another dog? *Does your dog need to wear a muzzle for any reason? *Has your dog ever been bitten or attacked by another dog? *What exercise does your dog receive? *How does dog react if you leave them? *Is your dog crate trained? *HealthDoes your dog have any allergies (food and environmental)? *Does your dog have any pre existing health conditions? *Has your dog ever had a seizure? *Does your dog have any joint or mobility problems? *Does your dog suffer from skin conditions? *Has your dog ever had any eye, ear or teeth problems (including teeth removed)? *Is your dog on any medication? *Are you happy for your dog to receive treats whilst being groomed? *Occasionally we used dog safe peanut butter in the salon, do any humans in your family have a peanut allergy? *GroomingHas your dog been groomed regularly in the past and how often?Do you brush your dog at home?Does your dog like being brushed?Does your dog have any sensitivities when brushing them at home?How does your dog act around the hairdryer/hoover at home?Do you usually trim your dogs nails at home?Does the vet usually trim your dogs nails?Is your dog frightened or anxious with loud noises?Thanks so much for filling in our application form, please see our term and conditions here, we’ll review your application and get back to you with a date for you and your dog to come up in for a meet and greet and full health check and find a suitable appointment for your grooming date!Submit
