Owner's Name Dog's Name Type/Weight Gender of Dog MaleFemale Dog's Date of Birth Phone number Email Date Type of Service Shampoo course - (Shampoo, conditioner & blow dry, ear cleaning, nail trim, scissoring feet, colon, anal gland cleaning, beard cut (if needed)Full course - (Shampoo course and whole body cut)Design cut 500 yen + taxHand cutting 500 yen + taxTangle removal 10 minutes 330 yen (tax included)Medicinal shampoo 500 yen + tax (less than 8 kg)Medicinal shampoo 1,000 yen + tax (8 kg or more)Flea removal shampoo 500 yen + tax (less than 8 kg)Flea removal shampoo 1,000 yen + tax (8 kg or more)Color (one point) 1,000 yen + taxToothpaste 500 yen + taxOption - (1,000 yen + tax for 3 of * service options)・ *Nail clippers 500 yen + tax・ *Foot cuts 500 yen + tax・ *Face cuts 500 yen + tax・ *Beard cut 500 yen + tax・ *Ear cleaning 500 yen + tax Has your dog been neutered? YesNo Is your dog friendly to a stranger? YesNo Is your dog able to play with other dogs? YesNo Is your dog familiar with a crate? YesNo Which veterinarian clinic do you usually take your dog to? Please provide the clinic's name if it's an off-base facility just in case we need to contact them. *Please know they have a specific clinic they use for customers' dogs. Where does the dog prefer to relieve himself/herself? OutsideTraining pad Where does a dog drink water from? Water dispenserWater bowl How do you describe your dog's personality? TimidMoodyQuietPlayfulActive What vaccines or preventive medications has your dog had within the last year? Rabies (REQUIRED)Combination vaccinesHeartworm preventionFlea & tick prevention (over-the-counter / prescription) Does your dog have any allergies? No allergiesFlea & tickFoodDermatitisShotsMedications If mentioned any allergies, please specify. Pick-up / Drop-off location No shuttle service neededMain base back gate (to the hotel)Main base back gate (from the hotel)Main base back gate (round trip)Hario base front gate (to the hotel)Hario base front gate (from the hotel)Hario base front gate (round trip)Your off base house (to the hotel)Your off base house (from the hotel)Your off base house (round trip) Emergency contact (Name) Emergency contact number Emergency contact e-mail address Subject Message [su_spoiler title="Fill this form below if you have second dog" open="no" style="default" icon="plus" anchor="" anchor_in_url="no" class=""] Dog's Name #2 Type/Weight #2 Gender of Dog #2 MaleFemale Date of Birth of Dog #2 Has your dog #2 been neutered? YesNo Is your dog #2 friendly to a stranger? YesNo Is your dog #2 able to play with other dogs? YesNo Is your dog #2familiar with a crate? YesNo Which veterinarian clinic do you usually take your dog #2? Please provide the clinic's name if it's an off-base facility just in case we need to contact them. *Please know they have a specific clinic we use for our customers' dogs. Where does dog #2 prefer to relieve himself/herself? OutsideTraining pad Where does dog #2 drink water from? Water dispenserWater bowl How do you describe your dog #2's personality? TimidMoodyQuietPlayfulActive What vaccines or preventive medications has your dog #2 had within the last year? * Rabies (REQUIRED)Combination vaccinesHeartworm preventionFlea & tick prevention (over-the-counter / prescription) Does your dog #2 have any allergies? No allergiesFlea & tickFoodDermatitisShotsMedications If mentioned any allergies, please specify. [/su_spoiler] Please attach your dog(s) photo Please attach your dog photo if you have more photo I read and agree to the service agreement
