Client Forms: Grooming Consent Form Find an Embassy Location Client Forms: Grooming Consent Form Find an Embassy Location Grooming Consent Form Location * - Select One -Hardin ValleyEmory RoadLenoir CityWestland DriveLand O'Lakes Choose Your Preferred Groomer * - Select One -MirandaAdriana Owner's Name * Owner's Name First First Last Last Email * Phone * Pet's Name * Preferred Pick Up Time * 121234567891011 : 0030 AMPM Please select the most accurate statement for your pet. How often is your pet groomed? * - Select One -My pet is groomed a few times a year.My pet has never been groomed before.My pet is groomed on a regular basis. How often is your pet groomed? * Our groomer will give you their best estimate on cost once they are able to evaluate your pet and what you would like completed. What is the best number to contact you at if you drop off prior to the Groomer's evaluation? * What services are you hoping to have done today (choose one)? * - Select One -Basic bath, nail trim, and ear cleaningBath with partial grooming. This includes nail trim, ear cleaning, trimming the hair around the eyes, and paws, as well as around your pet's most sensitive areas that can often get soiled when they go pottyFull grooming. This includes a bath, haircut all over, nail trim, and ear cleaningBath only Full Grooming Options If you selected full grooming, please answer the following questions. How would you describe the hair length for the body and legs? - Select One -Shaved short and smoothShort but still fluffyShorter but still extra fluffy How do you like their face to look? * - Select One -Shaved clean (poodle)Tight and neatTeddy bear styleBreed specific haircut How do you like their face to look? Would you like us to trim their ears? * Yes No Would you like us to pluck their ears? Yes, I accept the risk No, please do not pluck **Please note plucking can cause possible discomfort, irritation and sensitivity. Would you like us to trim your pet's tail? * Yes No Would you like any add ons (extra $)? Nail dremmel Tooth brushing Furminator de-shedding treatment Does your pet have any medical conditions, allergies, or disabilities? * Yes No Has your pet ever bitten anyone or ever had aggressive tendencies? * Yes No Please specify * Please specify * Any additional details you'd like to add for the groomer before they begin the groom? Your pet is important to us! Because we care about your pet’s safety and well-being, we want to assure you that every effort will be made to make your pet’s visit as pleasant as possible. Occasionally, grooming will expose a hidden medical problem or aggravate a current one. This can occur during or after the groom. We encourage you to provide all the medical details we need to know to make your pet’s experience safe and comfortable. In the best interest of your pet, we request your permission to obtain immediate veterinary care should it become necessary. Medical Emergency Consent I hereby grant permission to this grooming establishment to obtain emergency veterinary care for my pet at my expense. I also have given the groomer all the information of my pet’s medical history he/she may need to know to better my pet’s visit and safety. Responsible Party Signature * signature keyboard Clear Date * Captcha SUBMIT If you are human, leave this field blank.
