Grooming Registration Form

Please complete the form below to speed up your full-service grooming visit.  By completing this form you will automatically be entered into our system as a Preferred Customer.

Grooming Registration
Grooming Registration Form
Contact Information
Required fields are followed by a *
Tell Us About Your Dog(s)
Dog #1
Dog #2
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Dog #3
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Tell Us About Your Dog's Health
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Dog #1
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Max file size is 8 MB. Please email a current vaccination certificate from your veterinarian as a PDF to info@washnwiggle.net or use our file upload on this form
Dog #2
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Max file size is 8 MB. Please email a current vaccination certificate from your veterinarian as a PDF to info@washnwiggle.net or use our file upload on this form
Dog #3
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Max file size is 8 MB. Please email a current vaccination certificate from your veterinarian as a PDF to info@washnwiggle.net or use our file upload on this form
Your registration will not be complete without a copy of your current vaccination certificate
I certify that I am the owner or the agent of the owner of the aforementioned pet, and that I am authorized to sign this form. I have read the schedule of fees and agree to pay all charges at checkout and any cancellation fees. I authorize Wash N' Wiggle to charge my credit card account on file for any outstanding invoices or for veterinary services obtained for my pet.