Contact Us

Name:

Email:

Phone Number:

Pet's Name:

Breed:

Color:

Age:

Has pet been spayed/neutered?

Rabies Expiration Date:

List Health Conditions or Behavioral Issues Grooming Should Know About:

Veterinarian Name & Phone Number (To verify current vaccinations):

Would You Like Perfume/Cologne Sprayed On Pet?

By submitting this form, I warrant that my dog is current with the vaccinations required by law, and that my dog is healthy to the best of my knowledge. If pet is hurt or becomes ill, Pampered Pawz has the permission to call or take pet to veterinarian of our choice if pet's vet is inaccessible. We will not be held responsible for any sickness or injury caused by the pet to itself during grooming.

Pampered Pawz will not be held responsible for clipper burn and/or minor nicks resulting from grooming of matted, neglected coats or for irritation caused by removing coat from pets possessing mild to severe skin allergies, nor will we be held responsible for stressful effects grooming may have upon an elderly pet. We reserve the right to charge additional fees for services we consider over and above the norm covered by our standard rates. We also reserve the right to refuse service to customers whose pet may pose a threat to us or to the other pets left in our care, whether it be an aggression problem, health problem, or parasite problems.

I agree that I have read and understand the rules and conditions for my dog's grooming appointment. I understand that my dog, my guests, or I may be videotaped or photographed and that these images become the property of Pampered Pawz.