Grooming Form

Centennial Animal Hospital Grooming Form

All pets are required to be up to date on Rabies, Distemper and Bordetella vaccines to receive grooming services if they are not done at our hospital please bring proof of vaccines with you. In order for us to better care for your pet please answer the following questions.

Please select one:(Required)

I would like to schedule a grooming appointment. (A member of our team will reach out to get you scheduled on the next business day.)

I already have a grooming appointment booked

I only intend to come for grooming services

Name(Required)

First Last

Email(Required)

Address(Required)

Street Address Address Line 2 City State ZIP Code

Phone(Required)

Pet's Name(Required)

Species(Required)

Dog

Cat

Breed(Required)

Color(Required)

Sex

Male

Male (neutered)

Female

Female (spayed)

Age/Date of Birth(Required)

Who is your pet's primary veterinarian?(Required)

Is this the first time your pet is being groomed?(Required)

Yes

If this is not your pet's first time, has your pet ever been discharged from grooming services?(Required)

Does your pet suffer from arthritis?(Required)

Yes

If 'Yes', any places that are sensitive to touch or painful?(Required)

Does your pet have any environmental/food sensitivity or allergies? If yes, we would recommend either a hypoallergenic shampoo or oatmeal shampoo. Conditioners are not used with either of these products unless you specifically ask. See below for more details.(Required)

Yes

Do you have any requests for how you like the face, ears, or tail done?

Included Service for Basic Grooming:
• Bath with high-quality shampoo
• Blow dry and brush out
• Breed specific cut/style
• Nails trimmed
• Ears cleaned

Would you like to have a bandana or bows put on your pet once the grooming process is completed?(Required)

Yes

Additional Services: Please check any additional services you would like added on below.

Furminator Shed-Less Treatment – Three step process that dramatically reduces shedding to promote healthy skin and topcoat - $16.00

Hypoallergenic Shampoo (little to no smell) - For pets with sensitive skin, allergies, or who require frequent bathing. Provides gentle cleansing & moisturizing - $3.00

Oatmeal Bath - Crafted with natural, colloidal oatmeal to calm dry, itchy & irritated skin. Replenishes & conditions the skin & coat leaving them soft & silky. - $3.00

Dremal Nail Filing - $8.50

Medicated Shampoo (Prescription Formula) - $5.00

Nail Painting - $10.00

Blueberry Facial - To exfoliate and gently cleanse the facial area. The scrub washes away impurities and dead skin cells, bringing out the true beauty of a pet's face - $5.00

Anal Glands Expressed - Internally (with technician) - $13.75

Please Note: If you are 15 minutes or later for your appointment, you may be asked to reschedule, or your pet may be finished between/after other grooming appointments.(Required)

I have read and understand.

Grooming drop off and picks up are still performed curbside. Please call to let us know you have arrived. Please have your dogs on a leash and your cats in a carrier. (Required)

I have read and understand.

Please Note: Additional fees may apply for matted or difficult pets due to the increased time required for the groom. For your protection, and that of others, pets should be properly restrained by a leash or carrier upon arrival. I understand that payment is ALWAYS DUE IN FULL at time of service. We accept cash, debit, or all credit cards.(Required)

I have read and understand.

If fleas or ticks are detected at any point during the grooming process, we will immediately perform flea or tick treatment. An additional charge of $24.00 will be applied to your grooming services for the day.(Required)

I have read and understand.

Do we have your permission to share your pet’s image on our social media, website, and other forms of related media? Your name and personal information will never be shared.(Required)

Yes

Signature(Required)

Phone(Required)

CAPTCHA

Phone

This field is for validation purposes and should be left unchanged.

We treat your pets like the valued family members they are.

Address

6870 Centennial Blvd.
Colorado Springs, CO 80919
Click here for directions.

Hours

Mon – Fri: 8:00 am – 6:00 pm
Sat: 8:00 am – 12:00 pm
Sun: Closed

Contact

Phone: 719-528-1693
Fax: 719-528-1694
Email: centennialpets@gmail.com

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Request an appointment online!

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