Registration Form

Please use your full name (e.g. John Smith)
So we can contact you (e.g. name@gmail.com)
So we can contact you (e.g. 555-555-1212)
In case we cannot contact you
Please supply your mailing address
(e.g. 123 Mastiff Court)
Town or city (e.g. Charlottesville)
5 or 9 digit zip code (e.g. 22911)
Just to be safe
Because we care (e.g. Fido, Snoopy, or Fluffy)
Different breeds require different care
(e.g. Golden Retriever, Beagle Mix, or Mutt)
The more information the better
(e.g. White, Black & Tan, Gold, or Sandy)
Different ages require different care
(mm/dd/yyyy)
Give us an idea of how you would like your dog groomed. Please put any special requests or important medical history here. If you have any shampoo or bandanna preferences, please let us know that too.