Grooming Rehabilitation Program

{"contact_email":"","showCustomForm":"on","custom_form_html":"<div class=\"custom-form-steps\" data-total-steps=\"3\"><div class=\"custom-form-step step-1\" data-step=\"1\"><div class=\"row\"><div class=\"col-xs-12 c-f-field-type\" data-field-type=\"header\"><div class=\"form-group\"><div><h3><\/h3><\/div><\/div><\/div><\/div><div class=\"row\"><div class=\"col-xs-12 c-f-field-type\" data-field-type=\"header\"><div class=\"form-group\"><div><h3><\/h3><\/div><\/div><\/div><\/div><div class=\"row\"><div class=\"col-xs-12 c-f-field-type\" data-field-type=\"paragraph\"><div class=\"form-group\"><div><address>Our Rehabilitation Program is a Free program designed to help those most desperate in need of grooming intervention.<div><br><\/div><div>Highly anxious, reactive, fear aggression or dogs suffering groomer trauma, where other groomers are unable to attempt service are candidates for this program.<\/div><div><br><\/div><div>We require a referral from your vet and previous groomer outlining the issues your pet has with regard to the grooming process.<\/div><\/address><\/div><\/div><\/div><\/div><div class=\"row\"><div class=\"col-xs-12 c-f-field-type\" data-field-type=\"text\"><div class=\"form-group\"><label for=\"text-1743152615111\">Full Name<\/label><span>*<\/span><input type=\"text\"  name=\"text-1743152615111\" placeholder=\"Full Name\" class=\"form-control\" required data-msg-required=\"This field is required.\"><\/div><\/div><\/div><div class=\"row\"><div class=\"col-xs-12 c-f-field-type\" data-field-type=\"text\"><div class=\"form-group\"><label for=\"text-1743152636134\">Suburb<\/label><span>*<\/span><input type=\"text\"  name=\"text-1743152636134\" placeholder=\"Suburb\" class=\"form-control\" required data-msg-required=\"This field is required.\"><\/div><\/div><\/div><div class=\"row\"><div class=\"col-xs-12 c-f-field-type\" data-field-type=\"text\"><div class=\"form-group\"><label for=\"text-1743152650750\">Mobile Number<\/label><span>*<\/span><input type=\"text\"  name=\"text-1743152650750\" placeholder=\"Mobile Number\" class=\"form-control\" required data-msg-required=\"This field is required.\"><\/div><\/div><\/div><div class=\"row\"><div class=\"col-xs-12 c-f-field-type\" data-field-type=\"email\"><div class=\"form-group\"><label for=\"email-1743210531134\">Email Address<\/label><span>*<\/span><input type=\"email\"  name=\"email-1743210531134\" placeholder=\"Email Address\" class=\"form-control\" required data-msg-required=\"This field is required.\"><\/div><\/div><\/div><div class=\"row\"><div class=\"col-xs-12 c-f-field-type\" data-field-type=\"text\"><div class=\"form-group\"><label for=\"text-1743152673216\">Dogs Name<\/label><span>*<\/span><input type=\"text\"  name=\"text-1743152673216\" placeholder=\"Dogs Name\" class=\"form-control\" required data-msg-required=\"This field is required.\"><\/div><\/div><\/div><div class=\"row\"><div class=\"col-xs-12 c-f-field-type\" data-field-type=\"text\"><div class=\"form-group\"><label for=\"text-1743152688332\">Breed<\/label><span>*<\/span><input type=\"text\"  name=\"text-1743152688332\" placeholder=\"Breed\" class=\"form-control\" required data-msg-required=\"This field is required.\"><\/div><\/div><\/div><\/div><div class=\"custom-form-step step-2\" data-step=\"2\"><div class=\"row\"><div class=\"col-xs-12 c-f-field-type\" data-field-type=\"header\"><div class=\"form-group\"><div><h3><\/h3><\/div><\/div><\/div><\/div><div class=\"row\"><div class=\"col-xs-12 c-f-field-type\" data-field-type=\"header\"><div class=\"form-group\"><div><h3><\/h3><\/div><\/div><\/div><\/div><div class=\"row\"><div class=\"col-xs-12 c-f-field-type\" data-field-type=\"textarea\"><div class=\"form-group\"><label for=\"textarea-1743152756197\">Tell us a little about the issues with your dog<\/label><span>*<\/span><textarea  name=\"textarea-1743152756197\" placeholder=\"Tell us a little about the issues with your dog\" class=\"form-control\" rows=\"10\" required data-msg-required=\"This field is required.\"><\/textarea><\/div><\/div><\/div><div class=\"row\"><div class=\"col-xs-12 c-f-field-type\" data-field-type=\"textarea\"><div class=\"form-group\"><label for=\"textarea-1743288386118\">Please provide contact details of your current\/previous groomer<\/label><span>*<\/span><textarea  name=\"textarea-1743288386118\" placeholder=\"Please provide contact details of your current\/previous groomer\" class=\"form-control\" rows=\"3\" required data-msg-required=\"This field is required.\"><\/textarea><\/div><\/div><\/div><div class=\"row\"><div class=\"col-xs-12 c-f-field-type\" data-field-type=\"textarea\"><div class=\"form-group\"><label for=\"textarea-1743288414998\">Please provide contact details of your Vet<\/label><span>*<\/span><textarea  name=\"textarea-1743288414998\" placeholder=\"Please provide contact details of your Vet\" class=\"form-control\" rows=\"3\" required data-msg-required=\"This field is required.\"><\/textarea><\/div><\/div><\/div><div class=\"row\"><div class=\"col-xs-12 c-f-field-type\" data-field-type=\"text\"><div class=\"form-group\"><label for=\"text-1743152938544\">Age of Dog (approx)<\/label><span>*<\/span><input type=\"text\"  name=\"text-1743152938544\" placeholder=\"Age of Dog (approx)\" class=\"form-control\" required data-msg-required=\"This field is required.\"><\/div><\/div><\/div><div class=\"row\"><div class=\"col-xs-12 c-f-field-type\" data-field-type=\"select\"><div class=\"form-group\"><label for=\"select-1743288448627\">Sex<\/label><span>*<\/span><select  name=\"select-1743288448627\" class=\"form-control\"><option class=\"c-f-field-title\" disabled selected>Sex<\/option><option value=\"\">Please Select....<\/option><option value=\"\">Male<\/option><option value=\"\">Female<\/option><\/select><\/div><\/div><\/div><div class=\"row\"><div class=\"col-xs-12 c-f-field-type\" data-field-type=\"select\"><div class=\"form-group\"><label for=\"select-1743288492330\">Desexed<\/label><span>*<\/span><select  name=\"select-1743288492330\" class=\"form-control\"><option class=\"c-f-field-title\" disabled selected>Desexed<\/option><option value=\"\">Please Select....<\/option><option value=\"\">Yes<\/option><option value=\"\">No<\/option><\/select><\/div><\/div><\/div><\/div><div class=\"custom-form-step step-3\" data-step=\"3\"><div class=\"row\"><div class=\"col-xs-12 c-f-field-type\" data-field-type=\"header\"><div class=\"form-group\"><div><h3><\/h3><\/div><\/div><\/div><\/div><div class=\"row\"><div class=\"col-xs-12 c-f-field-type\" data-field-type=\"header\"><div class=\"form-group\"><div><h3><\/h3><\/div><\/div><\/div><\/div><div class=\"row\"><div class=\"col-xs-12 c-f-field-type\" data-field-type=\"header\"><div class=\"form-group\"><div><h3><\/h3><\/div><\/div><\/div><\/div><div class=\"row\"><div class=\"col-xs-12 c-f-field-type\" data-field-type=\"paragraph\"><div class=\"form-group\"><div><address>TERMS OF SERVICE<div><br><\/div><div>It is a condition of applying for our Rehabilitation Program that the client can commit to a training schedule developed by the team here at McKinnon's Dogwash and Grooming. All appointments under our Rehabilitation Program will be performed free of charge, providing the client commits to the program. Failure to attend follow up appointments will result in full fees being charged for all services performed.<\/div><div><br><\/div><div>All dogs being put forward for acceptance must have been refused service at other groomers, be able to provide prior groomers details or currently require full sedation by a Vet to undertake grooming. A referral from the Vet and letter from your former groomer will be required, alternatively, former groomer can contact Mel directly on 0434892844.<\/div><div><br><\/div><div>Should we extend the offer of our free program and find conflicting or misleading information regarding the dogs need for our program, full fees will be charged to the client and client will be liable for full payment.<\/div><div><br><\/div><div>All services will be provided to the best of our ability, and the client understands that there may be situations which prevent us from completing all services in the first instance. McKinnon's Dogwash and Grooming reserve the right to cease service of a high risk dog at any time if the service is no longer deemed safe for the dog or the groomer. Services will be completed during subsequent sessions.<\/div><div><br><\/div><div>McKinnon's Dogwash and Grooming are not held liable for any issues\/conditions uncovered during services.<\/div><div><br><\/div><div>The team at McKinnon's Dogwash and Grooming understand we are undertaking a high risk task and take responsibility for any injury or damage sustained to ourselves or equipment during service of a high risk animal. <\/div><div><br><\/div><div>The client provides permission for McKinnon's Dogwash and Grooming to take footage\/photographs of their pet during all services performed under our program and the footage will remain property of McKinnon's Dogwash and Grooming. This media may be used for advertising purposes.<\/div><div><br><\/div><div>Please consult our Standard Service Agreement as this will also apply to all dogs being serviced by our team at McKinnons Dogwash and Grooming.<\/div><\/address><\/div><\/div><\/div><\/div><div class=\"row\"><div class=\"col-xs-12 c-f-field-type\" data-field-type=\"checkbox\"><div class=\"form-group\"><label for=\"checkbox-1743153641995\" class=\"checkbox-label\"><input type=\"checkbox\" id=\"checkbox-1743153641995\" name=\"checkbox-1743153641995\" class=\"\" required data-msg-required=\"This field is required.\"><span class=\"checkbox-custom\"><\/span><span class=\"input-title\">I agree to the above terms of service:<\/span><\/label><\/div><\/div><\/div><\/div><div class=\"row step-form-btn\"><div class=\"col-xs-6\"><a class=\"previous-form-btn\" href=\"#\" onclick=\"return false;\" aria-label=\"Previous\">Previous<\/a><\/div><div class=\"col-xs-6\"><button type=\"button\" class=\"btn btn-primary btn-block next-form-btn\" aria-label=\"Next\">Next<\/button><button type=\"submit\" class=\"btn btn-primary btn-block submit-form-btn\" aria-label=\"Submit\">Submit<\/button><\/div><\/div><\/div>","thankYouMsg":"Thankyou for your application. 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