Grooming Admission/Consent Form

Owner's Name: *

Date:

Address: *

Phone: *

Email Address *

Pet's Name: *

Breed: *

Please take a moment to describe how you would like your pet groomed.

HEADTeddy Bear face and head, scissor roundCut SquareStandard for breedEars (shave, shape up, length off)

BODYNo length off-only neaten up/ trim if fur/hair will allowLength to be taken off (please specify in inches amount to be removed)Standard breed pattern (cocker span, schnauzer, etc.)All over shave down short (head, ears, body, tail) #10 1/16, #7 1/8, #5 1 /4)

TAILStandard with patternTrim neaten upLength to be taken off (Please specify in inches)

FEETShaved CleanScissor to be roundLength to be taken off (Please specify in inches)

If there is extensive matting (tangling) of hair, does our groomer have permission to shave these mattes out? Y N *If pet is matted above haircuts DO NOT apply*

Special Instructions (if not listed above): *

NOTE: All dogs left at ALPHA VETERINARY CENTER are required to be current on RABIES, DHLPP, and BORDETELLA vaccines and cats must be current on RABIES and FVRCP vaccines. If not current on vaccinations, do we have your permission to update at an additional charge (which will include an exam fee)? Y/N

Does your pet have any medical problems or allergies that the groomer should know about? *

Photo and Video Release

(please initial next to each you agree to)

Signature: *

Date

!Side Menu Content Mobile

!Call To Action

!Header Logo

!Call Today!

Please take a moment to describe how you would like your pet groomed.

Photo and Video Release

(please initial next to each you agree to)