Grooming Release

***We close at 7:00 PM on Fridays. If you are late for pick-up, you will incur an overnight boarding fee (cost is based on weight).***

Date *

Date

Owner's Name *

First Name Last Name

Pet's Name *

VETERINARY SERVICES: For admission for grooming, we require that your dog is up-to-date on a Rabies Vaccine, Dist-Hep-Parain-Parvo Vaccine, Bordetella Vaccine, and Fecal Test (every 6 months). A $79.00 preventive care exam/office visit with a veterinarian is necessary when vaccines are administered.

My dog is due for the following: *

Exam Rabies Vaccine DHPP Vaccine Bordetella Vaccine Fecal Test Lepto Vaccine (not required) Lyme Vaccine (not required) 4DX Test (not required) UP-TO-DATE

GROOMING SERVICES:

Does your pet require a medicated shampoo? *

Yes No

If Yes, what is the name of the shampoo? This shampoo must be provided by you or purchased from us at check-in.

I WOULD LIKE MY PET GROOMED IN THE FOLLOWING WAY: *

Expected pick-up time is between 4:00 PM - 7:00 PM on Fridays. Rush service is available for an additional fee ($28.00). Does your pet need rush service? *

Yes No

Grooming includes nail trimming and ear cleaning (if needed) at no additional cost. Select below if you would like us to also perform the following (see additional cost):

$38.00 Anal glands expressed (by a veterinary technician) $14.50 Teeth brushed (must provide or purchase toothbrush & toothpaste. This will remove plaque, but not tartar and should be done daily for best results.

BY SIGNING HERE, I authorize and will pay in full for the above services, and I confirm that I am the owner or authorized agent for the above pet. *

Clear

Phone Number where I can be reached today (required): *

Area Code Phone Number

Email where I can be reached today (optional):

example@example.com