Intake form

Help us serve you better

Name *

Email address *

Dog's name

Dog's age

Dog's breed

Is your dog spayed/neutered?

Does your dog have any allergies or special needs?

How did you hear about us?

Please select at least one option.

Social Media

Friend/Family

Online Search

Local Advertisement

Preferred grooming services

Please select at least one option.

Bathing

Haircut

Nail trimming

Ear cleaning

Teeth brushing

Has your dog attended daycare before?

Emergency contact name

Emergency contact phone number

Additional questions or comments

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Happy Houndz