New Clients

Welcome to Grooming by Jessica! I’m so excited to work with you and your pet. Please use the form below to tell me a little about your furry family member.

Name *

First

Last

Spouse

First

Last

Phone *

Alternate Phone

Email *

Address

Address Line 1

Address Line 2

City

State

Zip Code

Is it ok to send you reminders to your email address?

On occasion, I post pictures of my clients pets on Facebook or on my website. Do I have permission to use your pet's photo?

Pet Information

Help me get to know your pet

Name 1

Breed 1

Color 1

Age / Birth date 1

Sex 1

Spayed/Neutered 1

Name 2

Breed 2

Color 2

Age / Birth date 2

Sex 2

Spayed/Neutered 2

Veterinarian

How did you hear about me?

Please read and sign below:

I understand that vaccine records are necessary for grooming services to be performed. By signing I agree to have information verbally released, in written form, or emailed to grooming by Jessica. In case of emergency if I am not able to be contacted, Grooming by Jessica staff is allowed to seek medical treatment for my pet at my expense. I agree to pick up my pet within 30 minutes of receiving notice that my pet’s grooming is completed unless otherwise arranged.

New Clients

Pet Information

Please read and sign below:

Welcome!