New Customer Registration Form Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.(*) Indicates required fields.Your Full Name *FirstLastYour Email Address *Your phone number *Your full address and postcode *Your dog's name *Your dog's breed (if known) *Your dog's date of birth *DD12345678910111213141516171819202122232425262728293031MM123456789101112YYYY20262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Specific requests for your groom (how you like it done, and also preferred days & times for an appointment) *When was your dog last groomed (rough date is fine) *DD12345678910111213141516171819202122232425262728293031MM123456789101112YYYY20262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920What is your dog's attitude to being groomed? *Intense dislike, quickly becomes triggeredDislikes it but is manageableTolerates some bits, dislikes othersTolerates it allLOVES it allI don't knowCan I give your dog treats? *YesNoOnly certain ingredients (tell me more in the Health section)What music does your dog listen to at home? (So we can play it) *What size is your dog? *Small (e.g. a toy poodle)Medium (e.g. a cockapoo)Large (e.g. a Golden Retriever)X-Large (e.g. a Bernese Mountain Dog)What gender is your dog? *FemaleMaleHas your dog been spayed or neutered? *YesNoIs your dog microchipped? *YesNoName and address of your vet *Your vet's telephone number *Has your dog been vaccinated for Kennel Cough? *Yes, in the last 12 monthsYes, in the last 2 weeksNoDoes your dog have any health conditions we need to be aware of, so we can adapt a groom to their needs? *Where did you hear about Walton Dog Grooming? *GoogleFacebookNext DoorWord of MouthOtherGDPR Agreement *I consent to having this website store my submitted information so they can respond to my enquiry. *Submit Answers Back to homepage