The Dog Cabin Grooming Form - Fur-Baby Pet Resort



Welcome to Fur~Baby Spa Grooming Salon!

Fur Baby Name(s):_____________________________________________ Today’s Date: __(((/(((((/(((((((

Owner Name: Last(((((((((((((((((((((______________________First((((((((((((((((((((((((((______________

Address:((((((((((((((((((((((((((((((((((((((((((((((((((City:((((((((((((((((( State:((((((( Zip:((((((((((((

Home Phone:((((((((((((((((((________ Cell:((((((((((((((___________Work Phone:((((((____(((((((________

E-Mail Address:((((((((((((((((((((((((((((((((_______________________________________________________

Emergency Contact: This person must be local and a decision maker, if we cannot reach you in an emergency.

Name:(((((((((((((((((((((((((((((((((((((((Phone:(((__((((((((((((((((Cell:((((_________________(((((((( Others authorized to pick up your Pet: If you would like an individual, other than yourself & your emergency contact, to pick up your pet(s); their name must be on this form. All individuals are subject to ID check.

Name:(((((((((((((((((((((((((((((((___ Phone:___________________________Relation_____________________

Veterinarian: Name:(((((((((((((((((((((((((______________________________________________________((

Address________________________________________________________Telephone:_(((___(((((((((((((((( (((

Grooming Pet Info (Please write Additional pets on 2nd page)

Pet’s Name:(((((((_________(((________((((((((((Dog/Cat Breed:(((_______________________________(((( Sex: M / F Weight________lbs. Is he/she spayed/neutered?_________ Age: ((((((((Birth Date: (((((((__(( Have they been groomed before?_Y / N Previous Groomer ________________________ Last Grooming Date________ Is your pet friendly to other dogs? Yes____No____ Friendly to people? Yes____No____ Treat OK Yes______NO______

Medications: Name:________________________________Reason:________________________________________

Is your pet been treated monthly with topical flea/tick preventatives? ( Frontline or Advantix)? Yes_____No_______ Date Given____________________(Note: If found to have fleas or ticks, treatment will be provided at pet owner expense)

Medical Conditions: Please describe any physical problems that your pet has such as deafness, blindness, epilepsy, arthritis, hip or other joint problems, allergies, skin problems, any injuries or illness in the last 60 days? (((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((____________________________________________________________________________________________________________________________ Special Notes ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

HOW DID YOU HEAR ABOUT US?_______________________Who can we thank?_____________________________

❖ I have read and agree to the Release/Hold Harmless Agreement Print :

Name_________________________________Signature______________________________Date_________________

For Additional Pets

2nd Pet’s Pet’s Name:(((((((_________(((________((((((((((Dog/Cat Breed:(((_______________________________(((( Sex: M / F Weight________lbs. Is he/she spayed/neutered?__________ Age: (((__(((((Birth Date: ((((((___(__((

Have they been groomed before?_Y / N Previous Groomer __________________________ Last Grooming Date____________

Is your pet friendly to other dogs? Yes____No______ Friendly to people? Yes____No______ Are Treats OK Yes______NO_______

Medications: Name:________________________________Reason:________________________________________

Is your pet been treated monthly with topical flea/tick preventatives? Yes_____No_______ Brand:___________________ Date Given____________________(Note: If found to have fleas or ticks, treatment will be provided at pet owner expense)

Medical Conditions: Please describe any physical problems that your pet has such as deafness, blindness, epilepsy, arthritis, hip or other joint problems, allergies, skin problems, any injuries or illness in the last 60 days? (((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((___________________________Special Notes ______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

3rd Pet’s Pet’s Name:(((((((_________(((________((((((((((Dog/Cat Breed:(((_______________________________(((( Sex: M / F Weight________lbs. Is he/she spayed/neutered?__________ Age: (((__(((((Birth Date: ((((((___(__((

Have they been groomed before?_Y / N Previous Groomer __________________________ Last Grooming Date____________

Is your pet friendly to other dogs? Yes____No______ Friendly to people? Yes____No______ Are Treats OK Yes______NO_______

Medications: Name:________________________________Reason:________________________________________

Is your pet been treated monthly with topical flea/tick preventatives? Yes___No___Brand:_________________________ Date Given__________________(Note: If found to have fleas or ticks, treatment will be provided at pet owner expense)

Medical Conditions: Please describe any physical problems that your pet has such as deafness, blindness, epilepsy, arthritis, hip or other joint problems, allergies, skin problems, any injuries or illness in the last 60 days? (((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((____________________________________________________________________________________________________________________________ Special Notes _____________________________________________________________________________________________________________________________________________________________________________________

4th Pet’s Pet’s Name:(((((((_________(((________((((((((((Dog/Cat Breed:(((_______________________________(((( Sex: M / F Weight________lbs. Is he/she spayed/neutered?__________ Age: (((__(((((Birth Date: ((((((___(__((

Have they been groomed before?_Y / N Previous Groomer __________________________ Last Grooming Date____________

Is your pet friendly to other dogs? Yes____No______ Friendly to people? Yes____No______ Are Treats OK Yes______NO_______

Medications: Name:________________________________Reason:________________________________________

Is your pet been treated monthly with topical flea/tick preventatives? Yes______No______ Brand:___________________ Date Given___________________(Note: If found to have fleas or ticks, treatment will be provided at pet owner expense)

Medical Conditions: Please describe any physical problems that your pet has such as deafness, blindness, epilepsy, arthritis, hip or other joint problems, allergies, skin problems, any injuries or illness in the last 60 days? (((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((____________________________________________________________________________________________________________________________ Special Notes ______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Fur Baby Hold Harmless Agreement

➢ IF YOUR PET IS MATTED, there is a very high chance of skin irritation and abrasion due to the matting.  We are merely removing the matting to the best of our ability without any intended harm to your pet.  There is a very distinct possibility that there may be skin irritations, cuts, abrasions, or even injuries hidden beneath the matting. Matted ears may result in hematomas.  We may photograph coats that are in this condition at times to document the grooming process and to show any existing conditions that were hidden under these Matts. I understand that if my pet’s coat is highly matted, and I wish to save the coat, I will chose to allow the shop to brush out my pet if possible, and safe, at a fee of $1/per minute, or a minimum of $15 (per ½ hour) in addition to my regular grooming fee.

➢ IF YOU ARE ASKING FOR A SHAVE DOWN, be aware that certain coats are not meant to be shaved. Dogs that are repeatedly shaved are prone to post clip alopecia, with double and combination coated dogs being more prone. We are not responsible for this condition, as you are requesting the service after reading this contract. Should my pet be highly matted, and you are willing to allow a full shave down, Fur Baby Boutique reserves the right to cease grooming, should we deem it necessary to preserve the optimum health of your pet. This decision will be made based on the emotional and physical signs exhibited. (Panting, blue tongue, crying, growling, wild eyes, and any signs of obvious continual distress etc.)

➢ Fleas and ticks are not welcome on the bodies of fur babies, and it is the responsibility to insure fur babies are safe from flea and tick infestation. Therefore, fleas are likewise, not welcome in Fur Baby Boutique. Fur Baby Boutique reserves the right to administer a flea and tick preventative to any pet that shows obvious signs of flea infestation. The owner will be contacted, should this situation arise. You will be billed for such treatment.

➢ IF YOUR PET IS A SENIOR, we are not responsible for any injury, including those that can lead to death, such as stroke or heart attack. We also will not force your pet to endure a long and painful grooming process to achieve a certain desired look. If your pet can not endure the grooming process do to weak and ailing joints, breathing difficulties, or any other reason, we reserve the right to refuse service in the best interest of your pet. You will still be charged for any service performed.

➢ IF YOUR PET HAS FOOD ALLERGIES/SKIN ALLERGIES, please make us aware. This way we can use appropriate products, and give appropriate treats. Fur Baby Boutique receives your permission to offer your fur baby treats during this grooming experience to encourage a positive experience.

➢ Fur Baby Boutique & Independent Contractors reserve the right to refuse to groom any pet for health reasons, as well as reasons related to an inability to handle the pet safely. The use of muzzles, e-collars, slings and straps are acceptable safety measures. Should Fur Baby Boutique deem it necessary to cease a grooming regime, you, as the client, will only be billed for the portion completed.

➢ Fur Baby Boutique truly cares about the wellbeing of all fur babies. While in our care, we will provide every reasonable measure possible to insure the safety and enjoyment of your pet. However, in case of an accident or unexpected extraneous situation, it is agreed via signature on this form that Fur Baby will not be held responsible by the steward or the fur baby. Although all due care will be taken, I understand that pets can be quite wiggly and accidents such as nicks from clippers or scissors are a possibility.

➢ Fur Baby Boutique & Independent Contractors reserve the right to transport your pet to an animal hospital, and gives permission to utilize veterinarian services should it become apparent that the life of the pet is in jeopardy. The steward will be contacted by the shop as soon as is feasibly possible, and apprised of the situation. The owner agrees to pay for all medical expenses directly to the animal hospital.

➢ I authorize Fur Baby Boutique & Independent Contractors to act as my agent in the event emergency services, boarding, care-taking and/or transportation is necessary. And I agree to pay all costs associated herein. Any/all damages, loss or claim shall include, while not limited to, death, injury or shock. Said pre-existing conditions shall not be limited to advanced age, extreme nervousness, neurosis, illness, previous injury, skin or coat conditions or mental conditions.

➢ I understand that I am to pick up my pet within 30 minutes after completion of services. All late pick ups will be charged $10 for the next 30 minutes $20 1-5hrs and $25 5+ hours of care. All pets must be picked up before store closing, failure to do so will result in overnight boarding of the store’s choice. Overnight guest will be charged $50 and any additional fees and picking up the pet from that location are the owner’s responsibility.

➢ I have read and understand my rights and obligations as written in this agreement for the services of pet grooming through Fur-Baby Boutiques employees & Independent Contractors. I, the undersigned, do understand and agree to the above terms for grooming and maintenance of my pet(s). In consideration of the grooming services of Fur Baby Boutique & Independent Contractors, I agree to hold harmless from damage, loss or claims arising from any known or unknown pre-existing condition of my pet(s). The terms, special services or handling shall include, but are not limited to veterinarian emergency services in the event I am unavailable. I am responsible to pay for services at the time of service.

➢ _________________________________________ _______________________________

Owner’s Signature Date

BELOW TO BE FILLED OUT BY STAFF ONLY

1st Name |Due |Due |Due |Due |Due |Due |Due |Due |Due | |Rabies | | | | | | | | | | |Distemper | | | | | | | | | | |Bordetella | | | | | | | | | | |

2nd Name |Due |Due |Due |Due |Due |Due |Due |Due |Due | |Rabies | | | | | | | | | | |Distemper | | | | | | | | | | |Bordetella | | | | | | | | | | |

3rd Name |Due |Due |Due |Due |Due |Due |Due |Due |Due | |Rabies | | | | | | | | | | |Distemper | | | | | | | | | | |Bordetella | | | | | | | | | | |

4th Name |Due |Due |Due |Due |Due |Due |Due |Due |Due | |Rabies | | | | | | | | | | |Distemper | | | | | | | | | | |Bordetella | | | | | | | | | | |

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