Check in Release Form


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7813 Parston Drive,
Forestville Md 20747
301-456-7081


Check-in Form

Client Name:  

Phone Number:    Emergency Contact:   

Home Address: 

 

Pet Name:

Age:    

Allergies or Pre-existing Conditions:  

 

Pet Name:    

 

Breed:   

Age:    

Allergies or Pre-existing Conditions:  

 

Pet Name:   

Breed:   

Age:   

Allergies or Pre-existing Conditions:  


 

For today’s appointment and all future appointments:

I certify that I am the owner of this pet. I hereby grant permission to this grooming establishment to act in my behalf and in my pet’s best interest, by obtaining veterinary care at my expense, if deemed necessary for illness or injury. I further agree to pay all veterinary and other necessary services incurred by and for my pet during it’s stay in this facility. This grooming facility agrees to exercise all due and reasonable care to prevent injury or illness to my pet. However, in the event of illness or injury, the owners and employees of this grooming facility shall not be held personally liable for such injury or illness. I agree to pay all costs for any property damage or personal injury caused by my pet during its stay. I agree to pay all charges at the time of pick-up of my pet and understand that any animal left after grooming shop hours will have to pay an extra fee for boarding at the discretion of owner. I agree to make sure my pets grooming is acceptable before leaving the facility as there are no refunds once leaving the grounds. If there are any health issues or concerns after leaving the facility I must contact Pooch Styles within 48 hours of the groom to receive attention to the matter.

 

Leave this empty:

Pooch Styles Pet Grooming http://www.poochstylespetgrooming.com
Signature Certificate
Document name: Check in Release Form
Unique Document ID: a0656356220ea4a87237c2d241423ca1e7b33a8f
Timestamp Audit
2016-11-30 20:09:36 EDTCheck in Release Form Uploaded by Alicia Walker Walker - amw@aliciamwalker.com IP 24.95.34.139