New Customer Welcome Form

Welcome to Glamour Pets. We are honoured to become your pet grooming provider. The purpose of this form is to collect information that will facilitate a smooth relationship going forward. If you have a problem completing this form, please let us know. Items marked required must be filled in before submitting.

Name*

First Last

Address*

Street Address City Province Postal Code

Email*

Enter Email Confirm Email

Cell Phone Number*

Alternate Phone Number

What phone number should we use if we cant reach you on your cell phone?

What is the name of your current veterinary clinic?*

How many pets do you have?*

Please provide the following information about your pets:

Name*

Breed*

Gender*

Male
Female

Date of Birth*

Name*

Breed*

Gender*

Male
Female

Date of Birth*

Name*

Breed*

Gender*

Male
Female

Date of Birth*

Name*

Breed*

Gender*

Male
Female

Date of Birth*

If you have more than 5 pets, tell us about them at the bottom of the page

Does your pet have any chronic diseases?*

For example: Cancer, Diabetes, Epilepsy, Kidney disease, Heart disease, etc

We may give your pets food treats. Does your pet have any food sensitivities we should be aware of?*

Yes
No

Do your pets or any members of your household have known allergies to grooming products or scented products?*

Yes
No

Do your pets get along well with other pets?*

Yes
No

Have your pets ever behaved aggressively at a past grooming or veterinary appointment?*

Yes
No

Please any additional information you think may be helpful. If you answered “yes” to any of the yes/no questions above, clarification may also be helpful.

Message

Do you have a picture of a past grooming of your dog that you think looks good? You can upload it here. If you don't have a picture file on hand now, feel free to send later by email.

Upload Your File

Accepted file types: jpg, gif, png, Max. file size: 20 MB.

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