New Customer Form Note: Please fill out a new form for each doggy unless you have similar doggies. Please mention that in the comment field.Owner's Info First Name* Last Name* Phone Number* E-mail address* Desired Dates and Times Quick Pick* Earliest AvailableMornings are the Best (8 a.m. or 10 a.m.)Afternoons are Best (1 p.m. 3 p.m.)This weekNext WeekOther Preference Desired Dates and Times Comment Where did you hear about The Groomer Chick? yelp.comgoogle search or other search enginesfriend / neighbor / colleaguestranger dog lover I ran into at the dog parkdoggy forum / facebook groupother Doggy's Info Dog's Name* Dog's Breed* Dog's Age* Puppy (0-6 months)Adolescent (6 months - 1 yr)Adult (1 yr - 6 yrs)Experienced (6 yrs - 8 yrs)Wise (8 yrs and up) Last time the doggy got groomed by a professional (bath, dry, haircut, nails, etc.):* Less than 8 weeks2-3 monthsover 3 monthsHasn't been groomed yet.I've been grooming my dog at home on a regular basis. Dog's Experience with grooming* First TimerBeginnerUsed To ItSensitive for Nail trimmingOther SensitivityDisability Dog's Energy Level* Low energy Level / Mellow "I want it the way it happens."Medium Energy Level / gets excited, but easily calms down most of the timeHigh Energy Level / gets excited, takes longer to calm down most of the timeExtremely High Level / "My dog has only one setting: ON." :) I have one of those myself. ;-) Doggy's Weight* 0-20 lbs20-40 lbs40-60 lbs60-80 lbs80 lbs and over How is your doggy doing with Cats (or squirrels if not exposed to cats):* best of friendschases themprefer complete isolation from any other dogs/pets How is your doggy doing with Other Dogs:* extremely social, can't be without other doggiesOKshy / ignores other dogs. Prefers to be alone to playing with other dogs.alfa, dominant, hit & missI prefer complete isolation from any other dogs/pets How is your doggy doing with Strangers:* Falls in love at first sight. - Wants to get to know everyone even if they do not have treats. Sniffs, licks, gives and takes kisses.Easy Going - Sniffs & gives kisses, takes treats or toys easily in new situations from potential 2-legged friends.Suspicious - Won't easily let strangers approach or touch them. (Accepts treats after a while.)Very Shy / Abused Rescue doggies - Won't let strangers approach or touch them at all. Won't take treats in a new environment, situation at all, or for a longer period of time. Grooming Needs* Full PackageAdvanced PackageBasic PackageBath, BLOW-Dry, NailsBath, TOWEL-Dry, Nails (recommended for drier sensitive dogs)Face, Feet, Fanny Only (eye area trim, nail care, light feet trim, sanitary trim, ear checking)Nail Trim OnlyCustom Package I'd like to* Request an AppointmentGet an EstimateOther Comment Comments About the Desired Haircut Recent Image(s) About my Doggy Image(s) About the Desired Haircut Send
