Consent Preferences
Bear State Golden Retrievers
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Grooming Request Form
This form is to help us learn about your dog prior to the appointment. Please answer the questions as best as you can. If you have any questions feel free to reach us
here.
*
Indicates required field
Name
*
First
Last
Phone Number
*
Email
*
Address
*
Line 1
Line 2
City
State
Zip Code
Country
Are you a BSG puppy owner?
*
Yes
No
What is your dog's name?
*
How old is your dog?
*
How much does your dog weigh?
*
What breed is your dog?
*
Is your dog Spayed/Neutered?
*
Spayed(Female)
Neutered(Male)
Not Spayed or Neutered
Is this your dog's first groom?
*
Yes
No
Will your dog need special handling during the groom?
*
When was the last time your dog was groomed?
*
How is your dog around other dogs?
*
Loves just about every dog they meet!
Reserved. Takes a little time to warm up but enjoys the company of other dogs.
Avoids other dogs. Tolerant but can get annoyed at times.
Scared of other dogs.
Does NOT get along with other dogs and will bite if given the chance.
Does NOT like Other Females only.
Does NOT like Other Males only.
Does NOT like small dogs.
Does NOT like large dogs.
Requires more explaining. Please add information at the end of this form.
How is your Dog around new people?
*
Loves everyone they meet!
Reserved. Takes a little time to warm up to new people.
Avoids new people.
Scared of new people.
Does NOT typically like new people.
Can show aggression towards new people(may bite).
Does NOT like women.
Does NOT like men.
Requires more explaining. Please add information at the end of this form.
How comfortable is your dog with touch?
*
Very Comfortable.
Could use some more handling from others.
Not comfortable at all.
Only comfortable with you handling them.
On a scale from 1-5, how comfortable is your dog with getting their nails trimmed?
*
1
2
3
4
5
Unsure. They've only been trimmed by a groomer.
1 being absolutely hates it. 5 being very comfortable with it.
On a scale from 1-5, how comfortable is your dog with getting bathed?
*
1
2
3
4
5
Unsure. They've only been bathed by a groomer.
1 being absolutely hates it. 5 being very comfortable with it.
On a scale from 1-5, how comfortable is your dog with a blow dryer?
*
1
2
3
4
5
Unsure. They've only been blow dried by a groomer.
1 being absolutely hates it. 5 being very comfortable with it.
Is your dog up to date on Flea & Tick prevention,worming,DHPP vaccination,Rabies Vaccination & Bordetella vaccination? You will be required to show proof down below. A recent negative fecal may also be required depending if we have puppies at the time.
*
Yes
We can provide a recent titer test for the vaccinations.
It will be done by the time of appointment. *If not completed, we will have to reschedule your appointment and it may result in a no show charge of $50 if we are not notified within 2 days of your appointment.
Do you understand that if your dog is matted, there will be a de-matting charge and may result in being shaved? * Up to 3 mats smaller than the size of a quarter are included at no extra charge.
*
Yes
Do you understand that we have the right to refuse service if the groom is beyond our capabilities? This could include coat condition, our safety and the dog's comfortability. Some dogs may require sedation for grooming and we are not Veterinarians.
*
Yes
Upload Health records
*
Max file size: 20MB
Upload Vaccination records
*
Max file size: 20MB
Upload File
*
Max file size: 20MB
Upload File
*
Max file size: 20MB
Please share any information that you think would be helpful during your dog's grooming appointment.
*
Submit
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2019-2023 Bear State Goldens. Do not copy, reprint or reproduce without written permission.
Home
Our Goldens
Our Girls
>
Zaina
Hopeful prospects
>
Juliet
Boba
Our Studs
>
Bentley
Kane
Our puppies
How to Reserve a puppy
Litters
About Us
How we raise our puppies
Application
Our Policies
Pricing & Payment options
Air & Ground Delivery
Our Partners
Spay & Neuter information
New Puppy Recommendations
About Golden Retrievers
Testimonials(coming soon)
Contact us