Pet Parent

Date*

Name (Last, first, middle initial)*

Email address*

Mobile number*

Telephone number

Home Address*

Pooch

Name*

Date of Birth*

Breed*

Male or Female* MaleFemale

Hair length, texture and color

Spayed / Neutered YesNo

Personality

Medical overview/history

Vaccination Dates

List any prescribed medications your dog is
currently taking*

List any other medical condition/s or medical
history details*

Provide details of any known skin allergies
or sensitivities*

Registered Vet Name*

Vet Telephone Number*

Registered Vet Address (including postcode)

Grooming Information

Preferred hairstyle/ cut

Home grooming routine (if any)

Home grooming products used (if any)

Field/ working dog? YesNo

Microchipped YesNo

Insured YesNo

Children at home? YesNo

Other pets at home? YesNo

Details of other pets

Active outdoor life YesNo

How often walked

How did you hear of us?

Would you like to be added to our mailing list to be kept updated on promotions YesNo
and offers at the Spa?

Can we post pictures of your pooch to our social media pages? YesNo

Disclaimer:

I confirm that my pet is fit, healthy, and fully vaccinated. I agree that the pooch Dog Spa will not be held liable or responsible for any irritation, abrasion, patchiness or hair loss due to any pre-existing skin condition, or any mishap caused by my non-disclosure of my pets medical condition or behaviour. I agree pooch Dog Spa will not be held liable for any injury caused as the result of the process of grooming, de-matting, thinning, stripping or clipping. If my pet bites or attempts to bite the groomer a muzzle may be used, or at the discretion of the groomer the treatment may stop and I will pay for all work done to that point. If my pet causes injury to a pooch Dog Spa member or another client I agree to pay all expenses incurred as a result of the injury. If I fail to collect my pet at the agreed time I will pay the extra fee’s due. If my pet harbours any parasites I agree to pay the surcharge due. I do not cancel an appointment within the required 48 hours notice I agree to pay the necessary fees. If my pets health causes concern, obtain veterinary treatment at my expense.

The undersigned for and in consideration of the grooming service of pooch Dog Spa agrees to save and hold harmless pooch Dog Spa and its owners, operators, employees, officers, and directors from any damage, loss or claims arising from any pre-existing condition of the undersigns pet, either know or unknown to pooch Dog Spa, or any injury incurred to the pet during the grooming process. The terms special services or handling shall include, but not be limited to, veterinarian emergency services, caretaking, and/or transportation. In the event of an emergency should occur with my pet, or in the event special services or handling are required as deemed necessary by pooch Dog Spa in the care of my pet, I agree to pay all such costs. Said damage, loss or claim shall include, but not be limited to, death, injury or shock. Said pre-existing conditions shall include but not be limited to, advanced age, extreme nervousness, neurosis, illness, malformation or previous injury.
I confirm all the information I supplied above are true. I accept and consent entirely to the terms and conditions shown and have read all of the pooch Dog Spa policies as detailed on the company website.

Accept terms*

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