Ohana Client Form

Owner's Name *

First Name Last Name

Address *

Street Address

Apt or Unit #

City State

Postal / Zip Code

Email Address

Primary Phone Number *

Area Code Phone Number

*

Mobile Home Work

Secondary Phone Number

Area Code Phone Number

Mobile Home Work

I prefer to receive reminders & notifications via *

Phone call Text Email

Alternative Contact:

Name

Phone Number

Area Code Phone Number

Dog's Name *

Breed *

Color *

Age *

years

Gender *

Male Female

Spayed/Neutered *

Yes No

Do you use a monthly flea/tick preventative? (For the safety of all the dogs in our salon, Ohana Island Grooming does not accept dogs with fleas) *

Yes No

Veterinarian *

Rabies Vaccine Expiration Date *

Please upload copy of vaccination certificate

Browse Files

When was your dog's last visit to a groomer? *

2-4 weeks ago 1-2 months ago 3-5 months ago 6+ months ago Never

List any health problems/concerns/medications: *

How did you hear about us? *

Grooming Release Form 2020 - Ohana Island Grooming, L.P.

I certify that my dog is at least 2 month old, currently up to date on all vaccinations, in good health and has not been sick with any communicable disease in the past 30 days. Ohana Island Grooming, L.P. will not be responsible if my dog contracts a communicable canine disease from any other dog while in the salon.

As a responsible pet owner it is my responsibility to use an effective monthly flea and tick preventative.
Ohana Island Grooming, L.P. does not accept dogs with fleas. If any fleas are found on my dog I understand that my dog will be sent home immediately or require a mandatory Flea/Tick Bath for which I will be charged: $15-30.

I understand that the grooming process may result in the aggravation of pre-existing health conditions or the discovery of new problems or the, (i.e. ear infections, arthritis, skin conditions, etc) especially for senior pets. I hold Ohana Island Grooming, L.P. harmless to any of these exposures. I understand that grooming a senior dog requires extra time and caution and there may be a senior handling fee starting at $5.

I agree to inform Ohana Island Grooming, L.P. if my dog has ever bitten any human or another dog. I understand that a muzzle may be used on my dog if the groomer feels it is necessary for protection. I understand that if my dog is difficult to handle, requiring extra time to complete grooming, and/or requires more than 1 groomer I will be responsible for paying reasonable “special handling” fees starting at $5. I understand that if my dog is aggressive towards the grooming staff or other dogs in the salon that Ohana Island Grooming reserves the right to refuse service to my dog if he/she is unsafe to handle.

I understand that if my dog is matted, I authorize Ohana Island Grooming, L.P. to de-mat or shave my dog based on the groomer’s evaluation of the matting. Ohana Island Grooming, L.P. will not de-mat a dog if it seems unfair, uncomfortable or stressful for a dog. If my dog is too matted to be brushed out, I understand that my dog must be shaved to remove the matted hair, and Ohana Island Grooming, L.P. will inform me if this is the case. I understand that matting often causes skin irritations that I may not currently be aware of, and understand that Ohana Island Grooming, L.P. is not responsible for any skin irritations that may be revealed or occur due to my dog needing to be shaved very close to the skin. I understand that I am responsible for the additional cost of de-matting or shaving a matted dog starting at $5, depending on the severity of matting.

Ohana Island Grooming, L.P. does not use sedatives to groom dogs. I understand that if I choose to sedate my dog there are inherent risks involved when anesthetics and sedatives are administered. I certify that I must inform Ohana Island Grooming, L.P. if my dog is under any sedative and that only the proper dose, as directed by a veterinarian, has been administered. Ohana Island Grooming, L.P. has the right to refuse to groom any dog under a sedative, if the groomer feels the dog is not in a stable condition for grooming. I understand the risks of sedatives and will not hold Ohana Island Grooming, L.P. responsible should any complications occur if I choose to sedate my dog.

Ohana Island Grooming, L.P. uses only pet safe products, however I do understand that it is possible for my dog to develop a skin reaction to a product that may be used. I understand I shall not hold Ohana Island Grooming, L.P. responsible for any of such occurrences. I will inform Ohana Island Grooming, L.P. if I know my dog has sensitive skin or issues with certain types of products. I also understand that it is my responsibility to mention if my dog has any open wounds or skin infections, as it may be recommended that my dog wait until these conditions are resolved prior to having my dog groomed.

I understand that all charges for services provided by Ohana Island Grooming, L.P. will be paid in full upon pick-up of my dog. Ohana Island Grooming, L.P. reserves the right to refuse service to any customer/dog for any reason. Ohana Island Grooming, L.P. has a 24 hour cancellation/no show policy to which a $10 fee will apply for missed appointments.

I understand that Ohana Island Grooming, L.P. will take the utmost safety precautions and care when grooming my dog. I understand and agree thatOhana Island Grooming, L.P. will NOT be liable for any injury or senior dog's death that may occur in the salon, providing reasonable care and precautions are followed. In the event of an emergency I authorize Ohana Island Grooming, L.P. to obtain the necessary treatment for my dog and understand that I am responsible for any veterinary costs that may occur.

Your dog’s safety and comfort is very important to us at Ohana Island Grooming, L.P. Our fully trained staff will do everything possible to ensure your pets safety. However, there is a risk when dealing with animals. If any incident should occur Ohana Island Grooming, L.P. will contact you immediately.

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