How to Get Your Dog Started at the Pampered Pooch Salon!

Before your first grooming appointment, please complete our questionnaire, so that we can be sure to meet all of your grooming needs!

Do you currently have a grooming appointment set up? :
*

If you answered "YES" to the previous question, please enter date and time below:

Name:
*

Email Address:
*

Street Address (including city and zip code):

Daytime telephone number (including area code):
*

Daytime telephone number is for:
Home
Cellular
Work
Other

Full name of alternate emergency contact (other than you):
*

Telephone number for alternate emergency contact:
*

Name of your veterinary clinic:
*

Telephone number of your veterinary clinic:
*

Which grooming service are you interested in?
Nail Trim ONLY
B&B (Bath, Blowdry, Nail Trim, Brush out, Paw hair/sanitary trimming, & Ear cleaning)
Full Spa (B&B plus FULL HAIR CUT)

Dog's name:
*

Dog's breed(s):
*

Dog's Weight:

Dog's age:
*

Dog's gender:
Male
Female

Is your dog spayed or neutered:
Spayed
Neutered
Unaltered

Does your dog have any previous professional grooming experience:
No
Yes

If yes, please describe briefly:

Does your dog have Food Allergies (please specify):

Does your dog have Outdoor Allergies (please specify):

Is your dog Hearing Impaired:
No
Yes

Is your dog Seeing Impaired:
No
Yes

Does your dog have a physical impairment (please describe):

Does your dog have any other special needs (please describe):

Has your dog exhibited any aggression or biting during any professional or home grooming:
No
Yes

If so, please describe:

Does your dog have any other behavior issues that concern you or that we should be aware of during the grooming process:
No
Yes

If so, please describe:

Does your dog get along with other dogs:
No
Yes

If no, please describe briefly: :

How often is your dog professionally groomed:
*

Approximate date of last professional grooming:

Has your dog had any negative professional grooming experiences? If so, please describe:

Do you have any concerns or questions about having your dog groomed? If so, please describe:

How did you find out about AnnaBelle's Pampered Pooch Salon:

AnnaBelle's staff often take photographs of our grooming dogs. Do you have your permission to take photos and use these images for all purposes, including in our promotional materials, on our facebook page, and on our website:
Yes
No

All grooming dogs must have current vaccinations for rabies and DHLPP. Please confirm that your rabies and DHLPP vaccinations are up to date:
*

Bordetella (kennel cough) vaccination is also required, unless you present a written/signed waiver from your veterinarian. Please confirm that your dog's Bordetella vaccination is up-to-date. (Please note: Bordetella vaccinations do not prevent all kennel cough infections. For more information about Bordetella, its transmission, along with signs and symptoms, treatments, and other useful information, please visit The Pet Health Library. We also encourage you to discuss Bordetella/kennel cough with your veterinarian.):
*

I will provide current vaccination records (and/or a Bordetella vaccination waiver from my veterinarian) at my first grooming appointment. Please note: you or your veterinarian may email them to us at grooming@coolcitydogs.com:

FLEA POLICY AND PROCEDURES:
All day care and grooming dogs are inspected on arrival at AnnaBelle's and departure. If we note anything unusual, including the presence of fleas or flea eggs, scratches or other abrasions, we will advise you. If a dog has fleas, the dog must receive treatment and cannot be allowed in day care or return for grooming for one week from the last time fleas or eggs were found in the dog's coat.

AnnaBelle's does not require, but highly recommends, that your pet be on a flea preventative medication. We recommend that you read the following article regarding the types of flea preventatives available and how they work. There are many myths and misunderstandings regarding fleas and how pets get exposed to fleas. You should also be aware that fleas present a SERIOUS risk of harm to the health of your pet. We recommend reading the following article regarding flea myths and risks.

Be aware that some flea preventatives do not kill adult fleas and that your dog can be exposed to fleas virtually anywhere. We strongly urge you to discuss the risks presented by fleas with your veterinarian and the various options available to prevent fleas.

Please certify EITHER that your pet is on a monthly flea preventative medication OR that you have discussed this issue with your veterinarian and have opted to forego placing your pet on a monthly flea preventative:
My pet is on a monthly flea preventative medication (flea collars or flea baths are not considered acceptable monthly flea preventative medications)
I have discussed flea preventative medication with my veterinarian and have opted to forego placing my pet on flea preventative. I understand that by allowing my pet to come into contact with other animals at AnnaBelle's, I risk possible exposure of my pet to fleas. I understand that AnnaBelle's is not responsible for any veterinary or other costs associated with any flea infestation of my pet.

GROOMING NO CALL NO SHOW AND LATE CANCELATION POLICY
~All cancellations require a minimum of 48-hour notice or a cancellation/rescheduling fee will be charged.
~If you are less than/or 10 minutes late for your scheduled appointment, you may be charged a late fee in addition to the price of the grooming services. We certainly understand that running late or missing an appointment cannot always be avoided, but in consideration for our other pet parents who have grooming appointments and our groomer's schedule, we appreciate a prompt telephone call to let us know if you are running late or cannot make your appointment. We will do our very best to accommodate your schedule.
~If you are more than 10 minutes late for your appointment, your appointment will have to be rescheduled.
~If you miss a grooming appointment without calling us in advance to cancel or reschedule 48 hours prior to appointment a no-call-no-show fee must be made before making the next appointment.
Type Name: