Scooby-Dos Mobile Pet Grooming

Scooby-Dos Mobile Pet Grooming, Inc. Client Agreement

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Please provide the following contact information:

Name
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Work Phone
Home Phone
E-mail
Today's Date	-- mm/dd/yy

Please provide your emergency contact name:

First Name

Last Name
Emergency phone number?
Enter your pet's name
Enter your pet's breed.
Enter your pet's birthdate

-- mm/dd/yy
Sex:
Choose one of the following options:
Vet's name:

Name

Phone
Date of last check up.
Any problems, or areas of concern that you are aware of, i.e.: bad hips, ear/skin infections?
Has your pet ever shown any signs of aggression, if so, to what extent, and what were the circumstances?

Scooby-Dos Mobile Pet Grooming Inc. will not be held responsible for clipper burn and/or minor nicks resulting from the grooming of matted, neglected coats or for irritation caused by removing coat from pets possessing mild to severe skin allergy, nor will we be held responsible for stressful effects grooming may have upon the pet , such as seizures, strokes, heart attack, coma and/or death. The owner will disclose all information related to the overall health of the pet. The owner will be responsible for maintaining yearly shots and check-ups with their veterinarian. The owner shall inform any employees of Scooby-Dos Mobile Pet Grooming Inc, of any behavior and/or aggression issue the pet may have. In the event that the pet should bite any employee of Scooby-Dos Mobile Pet Grooming Inc. , the owner will be held liable for all doctor and hospital bills. The owner will notify Scooby-Dos Mobile Pet Grooming Inc. of any claims for medical attention given as a result of alleged negligence on our part within 24 hours. Failure to give notice within such time period relieves Scooby-Dos Mobile Pet Grooming Inc. from any liability or obligation to the owner. The owner agrees to give a 24 hour cancellation notice of any appointment, failure to do so will result in a $50.00 missed appointment fee. There will be a $25.00 fee for all returned checks. Scooby-Dos accepts cash and checks only.
By submitting this form, I certify that I am the owner/agent of animal(s) listed on information card and agree to be bound by this agreement.

First Name
Last Name

Name
Phone

Copyright © 2007[Scooby-Dos Mobile Pet Grooming, Inc.]. All rights reserved. Revised: 05/30/07

Copyright © 2007[Scooby-Dos Mobile Pet Grooming, Inc.]. All rights reserved.
Revised: 05/30/07