First and Last Name:

Phone Number:

Email:

Please select a week that you will be available to bring your pup in for a groom

Pet 1 Name:

Pet 1 Breed:

Pet 1 Weight:

Pet 1 Spayed/Neutered:
—Please choose an option—YesNo

Pet 1 Health Issues/ Pre-existing conditions:

Pet 1 Behavioral Issues:

BathNail ClippingEar CleaningTeeth BrushingFull Service GroomOther

At Momma's Dog Grooming, your pet is important to us. We want to assure you that every effort will be taken to make sure your pet's bathing experience is pleasant. Occasionally, grooming can expose a hidden medical problem or aggravate a current condition. This can occur during or after grooming

Because a pet could be severely tangled or matted, there is a greater risk of injury, stress and trauma. All precautions will be taken. However, problems occasionally arise, during or after grooming: such as nicks, clipper irritation and mental/physical stress. I understand that if my pet is matted, many pet has a greater chance of injury during grooming. I will not hold this grooming establishment responsible for accident or injury to my pet.

Kayla, owner of Momma's Dog Grooming is new at Grooming and promises to do her best to meet the expectations of the owner. I understand expectations may not be met and that Kayla is actively learning.

In the best interest of your pet, we request permission to obtain immediate veterinary treatment, at your expense, should it become necessary. In the even that I am not present, I hereby grant permission to Momma's Dog Grooming to obtain veterinary treatment for my pet at my expense. The undersigned further grants full permission to Momma's Dog Grooming to use any photographs or videotapes from grooming for any purpose. Additionally, I have notified Momma's Dog Grooming of any pre-existing medical conditions my pet may have had prior to receiving grooming services. I hereby agree that my pet is up to date on RABIES and all other necessary vaccinations.

Momma's Dog Grooming rents a space inside Danmar Pet Resort. I understand that Danmar Pet Resort is not liable for anything that occurs during grooming. Momma's Dog Grooming does not have access to Danmar Pet Resorts vaccination records, therefore, I agree to provide my own records to Momma's Dog Grooming.

I Have Read the Terms and Conditions and Accept The Statement