New Client Intake & Grooming Release Form

New Client Intake & Grooming Release Form
Thank you for choosing Rustic Spur Pet Parlor! Please complete this form before your pet’s first grooming appointment. This information helps us provide the safest and most comfortable grooming experience possible.
Name

First NameLast Name
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com
Preferred Contact Method
Emergency Contact Name & Phone Number

Pets Name
Pets Breed/Mix
Spayed/Neutered
Age/date of birth?
Veterinarian Name & Clinic Phone Number
Is your pet up to date on rabies vaccination? If yes, please provide the most recent vaccination date.

Health Information
Is your pet currently healthy?
If no, please explain:
Does your pet have any medical conditions?(If Yes, Please explain)
Does your pet take any medications?
Does your pet have any allergies or sensitivities?
Has your pet ever experienced any of the following?

Other
Please provide any additional health information we should know:

Grooming Preferences
What service are you requesting? (Full groom and bath includes Nail trim and ear cleaning)
Describe your desired haircut/style:
Preferred haircut length:
Please upload inspiration photos
File Upload

Cancelof
Is there anything you want us to avoid?

Senior Pets / Medical & Safety Acknowledgment
Is your pet considered senior (7+ years) or medically fragile?
Please understand that grooming can expose underlying medical conditions, including skin issues, lumps, joint problems, or other concerns that may not be visible before grooming.

Grooming Policies & Release

Grooming Risks Acknowledgment
I understand that grooming involves the use of professional equipment including clippers, scissors, dryers, bathing equipment, and restraint methods. While every effort is made to provide safe and compassionate care, grooming carries inherent risks including, but not limited to, minor nicks, clipper irritation, stress, allergic reactions, and discovery of pre-existing conditions.I authorize Rustic Spur Pet Parlor to provide grooming services for my pet and understand that every effort will be made to ensure my pet’s safety and comfort.
Emergency Authorization. In the event of an emergency, I authorize Rustic Spur Pet Parlor to seek veterinary care if deemed necessary. I understand that I am responsible for any veterinary expenses incurred.
Behavior Disclosure. I understand that failure to disclose previous aggression, biting history, or behavior concerns may result in discontinuation of services for the safety of my pet, the groomer, and others.
Photo Release (Optional). May Rustic Spur Pet Parlor use photos of your pet for business purposes, including social media and marketing?
Vaccination & Health Requirements Acknowledgment. To help maintain a safe and healthy grooming environment, I require all pets receiving grooming services at Rustic Spur Pet Parlor to be current on veterinarian-recommended vaccinations and preventative care appropriate for their age and lifestyle.By signing below, I confirm that my pet’s vaccination status is current and that I will notify Rustic Spur Pet Parlor of any changes in my pet’s health, contagious illness, or medical condition prior to their appointment.I understand that pets showing signs of illness, including but not limited to coughing, vomiting, diarrhea, excessive itching, skin infections, eye/ear infections, or other contagious conditions, may need to be rescheduled for the safety of all pets and people.
Matted Coat Release & Grooming Acknowledgment. I understand that severe matting can cause discomfort, restrict movement, trap moisture, hide skin conditions, and contribute to skin irritation or injury.I understand that removing severe mats may require shaving the coat shorter than my preferred style. Rustic Spur Pet Parlor will not intentionally cause discomfort and will always prioritize my pet’s safety and comfort over maintaining a specific haircut length.I understand that after mats are removed, my pet may experience temporary skin sensitivity, redness, irritation, or may appear different than expected due to the condition of the coat underneath.I acknowledge that Rustic Spur Pet Parlor is not responsible for pre-existing skin conditions, injuries, or discomfort caused by matting that becomes visible after removal.
Grooming Behavior & Bite Incident Policy. At Rustic Spur Pet Parlor, the safety of pets, clients, and the groomer is my priority.I understand that some pets may become stressed, fearful, or defensive during grooming. I agree to disclose any known history of biting, snapping, aggression, fear responses, or difficulty with handling before services are performed. If my pet displays unsafe behavior during grooming, including attempts to bite, repeated snapping, extreme stress, or behavior that puts my pet or the groomer at risk, grooming may be paused or stopped. If a grooming-related incident occurs: I will be notified as soon as reasonably possible. I understand that my pet may require evaluation or additional safety measures before future appointments.Future grooming services may be modified, limited, or discontinued if necessary for safety.I understand that withholding known behavior concerns may result in discontinuation of services.

Signature
Signature
Should be Empty:

New Client Intake & Grooming Release Form

Thank you for choosing Rustic Spur Pet Parlor! Please complete this form before your pet’s first grooming appointment. This information helps us provide the safest and most comfortable grooming experience possible.

Health Information

Grooming History & Behavior

Grooming Preferences

Senior Pets / Medical & Safety Acknowledgment

Grooming Policies & Release

Signature