Grooming Release Form Grooming Release Form Owner Name(Required) First Last Phone(Required)This number will be used for questions regarding your pet and to let you know when your pet is readySecondary PhoneHow many pets are getting groomed with us today?(Required) 1 2 3 4 Date of Appointment(Required) MM slash DD slash YYYY Pet #1Pet Name(Required) Pet #1 Please select desired service(Required)Bath and Brush OutBath and HaircutSummer ShaveLion CutAll grooming services include nail trim, anal gland expression, and ear cleaningSedation Consent and Release of Liability By checking this box, I agree to the terms and conditions.If sedatives are required for handling or grooming, I give permission for such medication to be administered at the discretion of the doctors at Singing Hills Animal Hospital and I understand there will be an additional charge for such medication. I do hereby release Singing Hills Animal Hospital, their doctors, agents, servants and/or other representatives from any and all liability arising from sedation on said animal. Additional specifications or requestsPet #2Pet Name(Required) Pet #2 Please select desired service(Required)Bath and Brush OutBath and HaircutSummer ShaveLion CutAll grooming services include nail trim, anal gland expression, and ear cleaningSedation Consent and Release of Liability By checking this box, I agree to the terms and conditions.If sedatives are required for handling or grooming, I give permission for such medication to be administered at the discretion of the doctors at Singing Hills Animal Hospital and I understand there will be an additional charge for such medication. I do hereby release Singing Hills Animal Hospital, their doctors, agents, servants and/or other representatives from any and all liability arising from sedation on said animal. Additional specifications or requestsPet #3Pet Name(Required) Pet #3 Please select desired service (Pet #3)(Required)Bath and Brush OutBath and HaircutSummer ShaveLion CutAll grooming services include nail trim, anal gland expression, and ear cleaningSedation Consent and Release of Liability By checking this box, I agree to the terms and conditions.If sedatives are required for handling or grooming, I give permission for such medication to be administered at the discretion of the doctors at Singing Hills Animal Hospital and I understand there will be an additional charge for such medication. I do hereby release Singing Hills Animal Hospital, their doctors, agents, servants and/or other representatives from any and all liability arising from sedation on said animal. Additional specifications or requestsPet #4Pet Name(Required) Pet #4 Please select desired service (Pet #4)(Required)Bath and Brush OutBath and HaircutSummer ShaveLion CutAll grooming services include nail trim, anal gland expression, and ear cleaningSedation Consent and Release of Liability By checking this box, I agree to the terms and conditions.If sedatives are required for handling or grooming, I give permission for such medication to be administered at the discretion of the doctors at Singing Hills Animal Hospital and I understand there will be an additional charge for such medication. I do hereby release Singing Hills Animal Hospital, their doctors, agents, servants and/or other representatives from any and all liability arising from sedation on said animal. Additional specifications or requestsTerms and ConditionsVaccination Policy(Required) By checking this box, I agree to the terms and conditions.For your pet's health and the protection of all other pets, we require DAP, Leptospirosis, Bordetella and Rabies vaccinations for dogs and FVRCP vaccination for cats be up to date. If these vaccinations are not current, they must be brought up to date when admitted to the hospital for grooming. I hereby release Singing Hills Animal Hospital, their doctors, agents and/or representatives of liability from any adverse reactions associated with vaccine administration. While most animals enjoy the grooming process, a few find it very stressful, therefore, all pets eight years of age or older, or with previously diagnosed health conditions, will be groomed at the owners risk. Grooming will not be performed on any animal whose health is in question or is deemed vicious and cannot be handled without sedatives.Medical Release of Liability(Required) By checking this box, I agree to the terms and conditionsIt is understood that injury to your pet while being groomed can result in, but is not limited to, clipper burns or cuts/nicks of the skin. If your pet should become ill or have other problems which, in the groomer's opinion, require medical attention, you will be notified immediately. If this notification is not possible or if the state of your pet's condition demands immediate attention, veterinary care will be administered. Medical expenses incurred will be the responsibility of the owner. All animals will be handled without liability from injury, loss, disease, fire or injury of persons, property or other pets. I have read and understood the policies and risks associated with the grooming process. Additional Terms(Required) By checking this box, I agree to the terms and conditions1.If fleas are found on your pet, it is mandatory that we treat them to prevent spread to others. A flea control product will be administered at the owner's expense. 2. I understand that Singing Hills Animal Hospital and staff are not responsible for any items I leave with my pet, such as collars, leashes, toys, or blankets. 3. I understand the fees associated with grooming are subject to change and the cost will be determined by the groomer on an individual basis. Heavy matting or undercoat and pets whose behavior warrants extra handling will be charged an additional fee. By checking this box and signing below, I certify that I am the rightful owner of the above named pet(s) and agree to the above Terms and Conditions(Required) I agreeOwner's Signature(Required)
