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Let’s get you started and book you in with Shampooch. Have any questions? Just give me a call or drop me an email. Don’t worry – you only have to fill this in once. Then just let me know if anything changes.

Looking forward to seeing you very soon!

First Name *

Last Name

Your Address

Flat number

Town/City

County

Post Code

Email Address *

Phone Number0 / 15

Pooch's name

Pooch's Date of Birth

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Health AssessmentHeart ProblemsFitsLumps or BumpsEar or Eye ProblemsRecent OperationsJoint ProblemsAllergiesBehaviour IssuesSkin ConditionsPlease tick any/all that apply to your pooch. Fill in more details in the box below.

Details of Health Issues0 / 180

Name of Vet/Practice

Vet Address

City

County

Post Code

Vet Phone Number0 / 15

Vet's Website

Veterinary Consent *YesBy checking this box I give Caroline PAcheco permission to seek veterinary attention at the nearest location if required in an emergency

Grooming Consent *YesBy checking this box I give permission for my animal to be clipped or stripped. I understnad that the appearance of my animal will be dramatically different and the coat clipped short and tight to skin. I understand after this treatment there may be exposed pre-existing skin conditions or problems.

Cancellation Policy *YesBy checking this box I understand the cancellation policy and that I may be liable for the grooming cost if I do not attend my appointment or reschedule with enough notice.

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