Haute Dog Spa Consent and Release Form

Pet Owner *

First Name Last Name

Owner Phone Number *

Area Code Phone Number

Email *

example@example.com

Pet Name *

Breed *

Pet Age

Pet Approximate Weight *

List All Pre-Existing Health Conditions

Vet Office *

Vet Phone #

Area Code Phone Number

Date of last Rabies vaccine *

Referral Source

Policies

Arrival/Cancellation Policy: I understand there will be a $30 fee for any No Show, Last Minute Cancellation (within 24 hours of scheduled appointment). Haute Dog Spa understands that things come up unexpectedly, those situations will be evaluated on a case by case basis. I am responsible for arriving on time to my scheduled appointment or I may be charged with a late fee or will need to reschedule my appointment.

Vaccines: I understand that the Rabies vaccination is a requirement for all dogs in the state of Minnesota (only a licensed Veterinarian can decide if a dog cannot receive the vaccination). My dog must be current and I must be able to provide proof with a current vaccination record or Rabies Certificate in order for Haute Dog Spa to provide the requested services. If documentation cannot be found, a verbal confirmation over the phone with the administering vet clinic will suffice.

Emergencies: In the event of an emergency, I authorize this establishment to immediately seek professional veterinarian attention for my dog (at my expense). I understand that all attempts will be made to contact me in the event of an emergency.

Coat Condition: I understand that Haute Dog Spa puts my dog's comfort above all else. In the event that my dog's coat is matted, I understand that my stylist may have to shave the matts out rather than perform a painful dematting procedure. I also understand that if my dog is severely matted, that there is an increased risk for clipper burn or cuts to occur. I understand that all attempts will be made to prevent this, however in many extreme matt conditions, it is unavoidable. I also understand that matted dogs take additional time to groom so there will be an additional fee added on to the regular grooming price if my dog's coat is matted. I understand I may be charged an additional fee due to excessive shedding as this takes time for brushing and clean up.

Pattern Cuts: I understand that there will be a fee starting at $12 for any specific breed pattern cuts or any coats left an inch or longer. These require extra time and skill.

Agressive/Anxious Behavior: If my dog is exceedingly anxious or aggressive, my stylist will complete the requested services to the best of their ability but are under no obligation to do so if there is a question of safety for either staff or dog. In addition, there may be a handling fee. This fee could also apply to dogs that require assistance from other staff members during the grooming process. I understand that if my dog shows any kind of aggressive behavior towards the stylist or other dogs, Haute Dog Spa reserves the right to refuse service for my dog. I will be charged a pro-rated fee for services rendered.

Pick Up Policy: I understand that Haute Dog Spa is a by appointment only salon and I am required to pick up my dog in a timely manner (1 hour after completion of service). My stylist will confirm contact info and give me a time estimation for completion of service. I understand that Haute Dog Spa does not have set hours at this time, but that I may be subject to a kennel fee ($35/hr) if I do not pick up within an hour of my completed service. If something comes up, It is up to me to communicate with my stylist so that accommodations can be made.

Please sign and submit this form to accept our policies. *

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