New Customer Registration For Grooming of One Pet

Full Name *

First Name Last Name

Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code

Phone Number *

Area Code Phone Number

Phone Number

Area Code Phone Number

Phone Number

Area Code Phone Number

E-mail *

example@example.com

How would you like to be contacted about appointment reminder?

How did you hear about us? *

Name of Dog *

Breed of Dog *

Sex of dog *

Spayed/Neutered *

Veterinarian and phone number *

Any preexisting conditions *

Hold Harmless Agreement: By signing this contract you (or your Agent) agree to hold Country Cutz Grooming and Boarding LLC, it's owners, operators, employees, officers and directors harmless from any damage, loss, or claim arising from any condition of the undersigned pet, either known or unknown to Country Cutz Grooming and Boarding LLC. It is also further understood and agreed the terms of this agreement can change at any time, without notice, and will overwrite any and all prior signed contracts or releases.

We require your pet to be vaccinated with all vaccines such as Rabies, DHPP, and Bordetella for boarding. We require Rabies vaccine for grooming and highly recommend DHPP and Bordetella. If your pet is to get an illness after grooming and/or boarding Country Cutz Grooming and Boarding LLC is not to be held responsible.

Occasionally, grooming can expose a hidden medical problem or aggravate a current one. This can occur during or after grooming. All medical expenses for veterinary care will be covered by the animal's owner upon signing this contract/agreement.

This release authorizes Country Cutz Grooming and Boarding LLC to take photos of your pet for client files and for the company website. All photos taken are the property of Country Cutz Grooming and Boarding LLC

Country Cutz Grooming and Boarding LLC takes the best care of your pet while being groomed and/or boarded but accidents can happen. If during grooming and/or boarding fleas and/or ticks are noticed, then a flea and tick shampoo will be used.

Pick up time cannot exceed 5:00 pm Monday thru Friday and no later than 3 pm on Saturday for grooming appointments. Pet can be picked up later than set times if discussed before grooming appointment. If the pet is not picked up at the set times the pet will stay overnight boarding and be charged for overnight boarding for their size.

It is your responsibility to cancel or reschedule your appointment for your pet within 24 hours of the appointment time. If this is not done within the time limit there is a charge of half of the grooming cost. If multiple dogs it is half the cost of each dog. If there is an appointment scheduled for 2 dogs and you only bring one there will be a charge for the one dog that did not make it to the appointment.

If the pet is not picked up at the pick-up time that was originally set forth a call should be made to Country Cutz Grooming and Boarding LLC before the pick-up time. If the pet has not been picked up before closing time, there will be a boarding fee applied and able to get a pet at the next pick up day. If the pet has not been picked up within 24hrs without a phone call the pet will be held at this facility for 7 days with charges incurring. If not picked up and paid in full in 7 days the pet will be surrendered to the SPCA.

Payment is to be paid in full at the end of grooming and/or boarding. Cash, credit card and check are accepted.

Country Cutz Grooming and Boarding LLC will be charging ½ of the cost of the grooming for any appointment that is not canceled within 24 hours of the appointment time if there is a no show to the appointment or if you are more than 15 minutes late with no call to confirm if we can still make the appointment.

Please sign that you have read and agree with all the information above.

Signature *

Clear

Grooming Agreement for One Pet Customer Details: