The Dog Dignity Collective Application Form

*	All information provided below is accurate. Please be aware if the forms are not filled in accurately we reserve the right to decline this application.
First Name *
Surname *
Mobile Number *
Email Address *
What is your full address? *
What city are you in? *
What is your dogs name? *
What breed(s) is your dog? *
How old is your dog? *
What sex is your dog? *	Male Female
What colour is your dog? *	Black Black and Tan Black and White Blue Blue and White Brindle Brindle and Black Brindle and White Brown Brown and Black Brown and White Cream Ginger Ginger and White Golden Grey Grey and White Tan Tan and Black Tan and White Tricolour White White and Black White and Brindle White and Brown White and Tan
What is your dogs approx weight? *
Has your dog been groomed previously? If so, how many times and how often? *
If your dog has been groomed in the past, when was the last time this happened?
Does your dog have any health issues? *
Does your dog have any behavioural issues? i.e. vet anxiety, aggression *
Why do you need help with a groom for your/someone elses dog? The more information you can provide the better. *
Are you able to pay anything towards this groom? If so, how much? *
Can you get the dog to a groomer if an appointment is booked? *	NoYes
Please provide photos of your dog to show why it needs a groom. *