New Client Registration

Date

MM slash DD slash YYYY

Owner First & Last Name(Required)

Prefix First Last

Email(Required)

Mobile No.(Required)

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Dog's Name(Required)

First

Dog's Breed(Required)

Is Your Dog Spayed/ Neutered?(Required)

Yes

Dog's Weight(Required)

Dog's DOB (Date of Birth)(Required)

Please put the date of birth for your pet and/or list their age.

List all health concerns, allergies, behavioral etc.(Required)

If this does not apply, please put "NA"

The state of Virginia requires pets to be current on Rabies vaccinations. We recommend all other veterinary routine vaccinations to be current for their safety. Is your pet up to date on vaccinations? If so, please upload a copy of it here in this form:

Upload Your Rabies Vaccination Here

Accepted file types: pdf, jpg, jpeg, png, Max. file size: 5 MB.

Your Current Veterinarian's Name & Contact Info(Required)

To validate shot health records.

How Did You Hear About Us?(Required)

Last Professional Grooming Date (approximate)(Required)

Previous Grooming Salon?(Required)

If this will be your dog's 1st time getting professionally groomed, please let us know this important detail.

What Are You Looking for In A Groomer?(Required)

Reason for Switching Grooming Salon?(Required)

If this does not apply, please put "NA".

How Soon Are You Looking To Schedule?(Required)

Best Days To Schedule? (We work by Appointment Only.)(Required)

Any available time

Tuesday 8:00am – 4:30pm

Wednesday 8:00am – 4:30pm

Thursday 8:00am – 4:30pm

Friday 8:00am – 4:30pm

Saturday 8:00am – 4:30pm

Please mark all options from below that can work with your schedule

Preferred Grooming Frequency?(Required)

2 – 3 weeks

4 – 6 weeks

6 – 8 weeks

Other

Brief Description of Preferred Haircut:(Required)

Please Upload A Recent Photo Of Your Pet

Accepted file types: jpg, gif, png, jpeg, Max. file size: 3 MB.

By marking 'yes' on the box below. You are hereby marking that you have read and understand the policies of Bella Rose Grooming Studio: 👉 Click Here To Read Our Policies 👈

By selecting "YES", I hereby declare that I have read and understand the policies.(Required)

••We specialize in routine grooming services on a weekly-monthly basis. Please note we want to build a long standing relationship with our clients.

••We recommend alternating a bath/nails only appointment between grooms to keep coat and skin healthy. A majority of our fluffy clients are seen on a 2-3 week routine.

••Our short haired friends we recommend 4-6 weeks for the shortest nails and to aid in shedding.

••Dogs that are groomed more often learn to enjoy their spa days and we can form a long lasting bond. We want our furry guests to enjoy the experience and feel relaxed. With routine services, it becomes more familiar to them. It also aids in the prevention/detection of health problems, allergies and skin discomfort. Thank you!

Pawesome! Please submit form by clicking the button below. And we will be in touch within 48 business hours.

Name

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

Contact Us

Hours of Operation

Questions? We Have Answers!

Monday	Closed
Tuesday	8:00 am – 4:30 pm
Wednesday	8:00 am – 4:30 pm
Thursday	8:00 am – 4:30 pm
Friday	8:00 am – 4:30 pm
Saturday	8:00 am – 4:30 pm
Sunday	Closed