Name:


Phone Number (xxx-xxx-xxxx):


Dog Breed:


Desired Appointment:
Date
Time

Additional Comments:

Note: You must present Immunization Records if you are a first time customer at the time of your appointment.

This form will automatically generate an e-mail to us with the specified information. If it doesn't work for you, you can send us an e-mail at thegroominghaus@gmail.com or give us a call!