WESLEY'S WAG AND WASH PET SPA
New Client Intake & Grooming Consent Form
Owner Information
Name
First Name
Last Name
Phone Number
Format: (000) 000-0000.
Email
Emergency Contact
Name
First Name
Last Name
Phone Number
Format: (000) 000-0000.
Pet Information
Name
Breed
Approximate Weight
Birthdate
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Approximate if unknown
Sex
Female
Male
Spayed/Neutered?
Yes
No
Veterinary Clinic
Vaccination Verification
Is rabies vaccination current?
*
Yes
No
Upload Current Rabies Certificate:
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Health & Behavior Information
Has your pet ever bitten, snapped at, or attempted to bite a person or another animal?
No
Yes
If yes, please describe the situation and any handling precautions that may help keep everyone safe.
Does your pet have any medical conditions, injuries, allergies (including food allergies or sensitivities), medications, mobility concerns, anxiety, fear, grooming sensitivities, or behavioral concerns we should know about? Please include any special handling instructions that may help us provide a safe and comfortable grooming experience.
May we offer treats during your pet's grooming appointment?
Yes
No
Owner provided treats only
Grooming Consent
I authorize Wesley's Wag and Wash Pet Spa to perform grooming services for my pet. I understand that grooming involves the use of clippers, scissors, brushes, dryers, bathing equipment, and handling procedures that carry inherent risks despite reasonable care and safety precautions. I certify that my pet is healthy enough to participate in grooming services and that I have disclosed any known medical, behavioral, or physical concerns.
Owner Presence During Grooming
I understand that owners are generally asked to leave during the grooming appointment. Many pets settle more comfortably when separated from their owners, and remaining during the grooming process may interfere with the groom or increase stress.
Matted Coat Release
I understand that severely matted coats can cause discomfort, skin irritation, bruising, hidden wounds, and other health concerns. If my pet's coat is matted, I authorize Wesley's Wag and Wash Pet Spa to remove the matting in the manner deemed safest and most humane by the groomer, including shaving if necessary. I understand that removing a heavily matted coat may reveal or result in skin irritation, redness, cuts, nicks, abrasions, clipper sensitivity, or previously hidden skin conditions. I agree not to hold Wesley's Wag and Wash Pet Spa responsible for conditions resulting from or revealed by the removal of a matted coat.
Senior & Special Needs Pets
I understand that grooming senior pets or pets with medical, behavioral, mobility, or physical limitations may involve increased risk. While reasonable accommodations will be made to ensure my pet's comfort and safety, I acknowledge that grooming may still be physically or emotionally stressful for some pets.
Behavior & Safety
I understand that grooming may be modified, shortened, or discontinued if my pet becomes excessively stressed, fearful, aggressive, or unsafe to handle. I understand that I may still be responsible for charges associated with services performed before grooming is discontinued.
Crating & Drying
I understand that Wesley's Wag and Wash Pet Spa minimizes crate use whenever possible. However, my pet may be temporarily crated when necessary for safety, comfort, cleaning, pickup coordination, or drying purposes. I understand that crate drying, if used, will be done using ambient air and/or a fan and that pets will not be left unattended.
Emergency Veterinary Care Authorization
In the event of an illness, injury, accident, or medical emergency involving my pet during grooming services, I authorize Wesley's Wag and Wash Pet Spa to seek veterinary treatment if I cannot be reached promptly.I understand that all veterinary expenses incurred on behalf of my pet are my sole responsibility.
Photo & Social Media Permissions
May Wesley's Wag and Wash Pet Spa use photos and/or videos of your pet for social media, website content, educational content, and promotional purposes?
*
Yes, I give permission
No, I do not give permission
Cancellation Policy
I understand that Wesley's Wag and Wash Pet Spa requests at least 24 hours notice for appointment cancellations whenever possible. Repeated no-shows, missed appointments, or excessive last-minute cancellations may result in a deposit requirement or refusal of future appointments.
Agreement & Signature
*
I certify that the information provided is accurate and complete.
I have read and understand this Grooming Consent & Liability Agreement.
I agree to the terms and conditions outlined above.
Printed Full Name (Electronic Acknowledgement)
*
First Name
Last Name
Date
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
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Next
⚠️Only have ONE pet? Skip this section, scroll to the bottom & click submit to finish your form ⚠️
Additional Pets
Name
Breed
Approximate Weight
Birthdate
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Approximate if unknown
Sex
Female
Male
Spayed/Neutered?
Yes
No
Is rabies vaccination current?
Yes
No
Upload current Rabies Certificate:
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Health & Behavior Information
Has your pet ever bitten, snapped at, or attempted to bite a person or another animal?
No
Yes
If yes, please describe the situation and any handling precautions that may help keep everyone safe.
Does your pet have any medical conditions, injuries, allergies (including food allergies or sensitivities), medications, mobility concerns, anxiety, fear, grooming sensitivities, or behavioral concerns we should know about? Please include any special handling instructions that may help us provide a safe and comfortable grooming experience.
May we offer treats during your pet's grooming appointment?
Yes
No
Owner provided treats only
Additional Pet
Name
Breed
Approximate Weight
Birthdate
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Approximate if unknown
Sex
Female
Male
Spayed/Neutered?
Yes
No
Is rabies vaccination current?
Yes
No
Upload current Rabies Certificate:
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Health & Behavior Information
Has your pet ever bitten, snapped at, or attempted to bite a person or another animal?
No
Yes
If yes, please describe the situation and any handling precautions that may help keep everyone safe.
Does your pet have any medical conditions, injuries, allergies (including food allergies or sensitivities), medications, mobility concerns, anxiety, fear, grooming sensitivities, or behavioral concerns we should know about? Please include any special handling instructions that may help us provide a safe and comfortable grooming experience.
May we offer treats during your pet's grooming appointment?
Yes
No
Owner provided treats only
Additional Pet
Name
Breed
Approximate Weight
Birthdate
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Approximate if unknown
Sex
Female
Male
Spayed/Neutered?
Yes
No
Is rabies vaccination current?
Yes
No
Upload current Rabies Certificate:
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Health & Behavior Information
Has your pet ever bitten, snapped at, or attempted to bite a person or another animal?
No
Yes
If yes, please describe the situation and any handling precautions that may help keep everyone safe.
Does your pet have any medical conditions, injuries, allergies (including food allergies or sensitivities), medications, mobility concerns, anxiety, fear, grooming sensitivities, or behavioral concerns we should know about? Please include any special handling instructions that may help us provide a safe and comfortable grooming experience.
May we offer treats during your pet's grooming appointment?
Yes
No
Owner provided treats only
Additional Pet
Name
Breed
Approximate Weight
Birthdate
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Approximate if unknown
Sex
Female
Male
Spayed/Neutered?
Yes
No
Is rabies vaccination current?
Yes
No
Upload current Rabies Certificate:
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Health & Behavior Information
Has your pet ever bitten, snapped at, or attempted to bite a person or another animal?
No
Yes
If yes, please describe the situation and any handling precautions that may help keep everyone safe.
Does your pet have any medical conditions, injuries, allergies (including food allergies or sensitivities), medications, mobility concerns, anxiety, fear, grooming sensitivities, or behavioral concerns we should know about? Please include any special handling instructions that may help us provide a safe and comfortable grooming experience.
May we offer treats during your pet's grooming appointment?
Yes
No
Owner provided treats only
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