Consent and Waiver Form

Waiver and Release Form

Please complete this form before your scheduled in-home visit. This helps us provide safe, comfortable, and personalized care for your pet(s) in the comfort of your home.
Name

First NameLast Name
Phone Number
Format: (000) 000-0000.
Pet's Name
Pet's Date of Birth

MonthDayYear
Date. If unsure, please guess approximate Date.
Approximate Weight
In Lbs.
Species
Breed
How long have you had your pet?
Medical History and Information
Date of Rabies vaccination

MonthDayYear
Kindly ensure you have valid proof of vaccination available.
When is your pet's next Rabies vaccination due?

MonthDayYear
Is your pet spayed or neutered?
Does your pet have any known allergies or skin conditions?
If None, type None
Are there any places your pet does not like to be touched?
If None, type None
Is your pet afraid of any of the following? (Check all that apply)

Other
Which best describes your pet's energy level?
Which 3 adjectives best describes your pet's personality?
Is your pet on flea, tick, and heartworm prevention?

If yes, which brand
Has your pet ever bitten anyone?

If yes, please explain
Please provide other comments or information about your dog that you feel might be helpful:
Consent and Waiver
I understand that T&B Pets will take every reasonable precaution to ensure the safety and comfort of my pet(s) during in-home visits. However, I acknowledge that no service is without risk. Accordingly, I agree to release and hold harmless T&B Pets and its representatives from any liability for injury, escape, illness, or death of my pet(s), except in cases of gross negligence or willful misconduct.
Signature
Date

MonthDayYear
Date
Thank you for helping us understand your pet better. Please let us know if we can answer any questions! Feel free to contact us anytime via phone (682) 888-7087 or via email at contact@tandbpets.com. You can also visit our website at https://tandbpets.com/
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Waiver and Release Form