info@themodernpupsalon.com
530.215.1510
855 Commerce St, Redding
Tues-Sat: 8 am - 5 pm. Closed Sundays & Mondays. Check out our Announcements Page for more info
The Modern Pup
Where your pup goes from scruffy to chic
Home
Team
Services
Intro to Grooming
Gallery
Online Booking
Policies
Announcements
Search
New Client Form
Please enable JavaScript in your browser to complete this form.
Name
*
First
Last
Address
*
Primary Phone Number
*
Is this a home, cell, or work phone number?
*
Home
Cell
Work
Secondary Phone Number
Is this a home, cell, or work phone number?
Home
Cell
Work
Additional Contact
Please provide your e-mail
*
How did you find out about the salon?
*
YELP!
Google
Advertisement
Walk-By
Referral
Flyer
Sign
TV
Facebook
Instagram
If you were referred by someone, by who?
If by ad, where did you see the advertisement?
Can we use your pet(s) photos on our website, brochures, ads, Facebook, or Instagram?
*
Yes
No
Do you want to be tagged on Social Media?
*
Yes
No
If so, what’s your username?
Pup(s) General Information
*
Vet Clinic
*
Is your pup(s) allergic to anything? If so, what?
*
Does your pup(s) have any diseases/medical conditions/previous injuries?
*
Any skin/coat issues?
*
Any behavioral issues?
*
Any comments you’d like to add?
Email
Submit
