Waggy’s Grooming Registration Form YOUR DETAILS Title Name * First Name Last Name Contact Number * Email * Emergency Contact's Name * First Name Last Name Contact Number * How did you hear about us? Please state the name of your referee here if applicable BOOKING DATE AND TIME Please provide us with your ideal date and time for your appointment and we will book you in for that date, or offer our closest alternatives. Date * Time * Required Groom * Please provide us with as much detail as possible about the groom you require. YOUR DOG'S DETAILS Dog's name * Breed/description * Behaviour Information * Please give as much information on your dog's behaviour (see examples below). Medical Information * Please give as much information on any relevant medical informatio YOUR VET'S DETAILS Name of registered vets STATEMENTS I understand that additional charges may be applied to my initial quote for unforeseen factors such as matting or bad behaviour * Yes No I understand that I may be charged extra, or even refused admittance to my groom should I arrive late * Yes No I agree for my dog(s) to be given dog-friendly treats * Yes No I understand the exact price is subject to change upon checkout due to factors such as behaviour, matting/coat condition or the length of the coat/size of the dog being different to what has been booked in. * Yes No I understand that all baths and grooms include ear cleaning and nail trimming, which we will carry out unless otherwise instructed to, or if refused on welfare/behavioural grounds. * Yes No I understand that teeth cleaning is not, nor a substitute for, a veterinary procedure, and cannot diagnose any problems with your dog's mouth * Yes No TERMS AND CONDITIONS * By ticking the box below, you agree to abide by Waggy's Terms and Conditions on every occasion your dog(s) is (are) in our care. You can find a link to our full Terms and Conditions below this form, please read them carefully. I am in full agreement of the Terms and Conditions of Waggy's Thank you! You can find our full Terms and Conditions here