New Client Sign Up

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

DaySelect day12345678910111213141516171819202122232425262728293031

MonthSelect month123456789101112

YearSelect Year212121202119211821172116211521142113211221112110210921082107210621052104210321022101210020992098209720962095209420932092209120902089208820872086208520842083208220812080207920782077207620752074207320722071207020692068206720662065206420632062206120602059205820572056205520542053205220512050204920482047204620452044204320422041204020392038203720362035203420332032203120302029202820272026202520242023202220212020201920182017201620152014201320122011201020092008200720062005200420032002200120001999199819971996199519941993199219911990198919881987198619851984198319821981198019791978197719761975197419731972197119701969196819671966196519641963196219611960195919581957195619551954195319521951195019491948194719461945194419431942194119401939193819371936193519341933193219311930192919281927192619251924192319221921

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.

This form will redirect you to another page once submitted.Send Message

Please do not fill in this field.