Legal Form

Every customer is asked to sign this form at the first
grooming appointment.   Please notify the groomer
if you have any questions or concerns.

GROOMING RELEASE

PLEASE FILL OUT COMPLETELY, READ CAREFULLY AND SIGN BELOW

OWNER’S NAME First:_______________ Last:_______________________

ADDRESS______________________________________________________________
                      Street                              City                       State                   Zip Code

HOME / WORK PHONE ___________________ CELL PHONE_________________

DOG’S NAME: ____________________ Male/Female_________ AGE: ____________

BREED: _______________________ VACCINATIONS CURRENT? Yes___No___

RABIES INOCULATION CURRENT Yes___No___

MEDICAL PROBLEMS: __________________________________________________

PAST GROOMING PROBLEMS: ___________________________________________
VETERINARIAN NAME: _________________________________________________
VETERINARIAN ADDRESS: ______________________________________________
VETERINARIAN PHONE: ________________________________________________

IF PET IS HURT OR BECOMES ILL, BEGGIN’ FOR A BATH, LLC HAS PERMISSION TO OBTAIN IMMEDIATE MEDICAL CARE FROM THE PET’S VETERINARIAN, OR THE VETERINARIAN OF OUR CHOICE IF PET’S VETERINARIAN IS NOT ACCESSIBLE. PET OWNER AGREES TO PAY ALL COSTS FOR MEDICAL TREATMENT PROVIDED, UNLESS ILLNESS OR INJURY IS A DIRECT RESULT OF NEGLIGENCE OF BEGGIN’ FOR A BATH, LLC EMPLOYEES. BEGGIN’ FOR A BATH, LLC WILL NOT BE HELD RESPONSIBLE FOR ANY SICKNESS OR INJURY CAUSED BY PET TO ITSELF DURING GROOMING. BEGGIN’ FOR A BATH, LLC 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 ALLERGY, NOR WILL WE BE HELD RESPONSIBLE FOR STRESSFUL EFFECTS GROOMING MAY HAVE UPON A GERIATRIC PET.

BEGGIN’ FOR A BATH, LLC WILL BE NOTIFIED WITHIN 48 HOURS OF ANY CLAIMS BY OWNER REGARDING COMPENSATION FOR MEDICAL ATTENTION GIVEN AS A RESULT OF ALLEGED NEGLIGENCE OF OUR STAFF. IN THE EVENT OF DISPUTE OVER OWNER’S CLAIM, BEGGIN’ FOR A BATH, LLC WILL PERSONALLY CONSULT THE ATTENDING VETERINARIAN PRIOR TO SETTLING ANY CLAIM.

BEGGIN’ FOR A BATH, LLC RESERVES THE RIGHT TO CHARGE ADDITIONAL FEES FOR SERVICES WE CONSIDER OVER AND ABOVE THE NORM COVERED BY OUR STANDARD RATES. OWNER AGREES TO BE RESPONSIBLE FOR ANY PROPERTY DAMAGE CAUSED BY THEIR PET. BEGGIN’ FOR A BATH, LLC RESERVES THE RIGHT TO REFUSE SERVICE TO CUSTOMERS WHOSE PET MAY POSE A THREAT TO OUR EMPLOYEES AND OTHER PETS IN OUR CARE, WHETHER IT BE AN AGGRESSION PROBLEM, HEALTH PROBLEM, OR PARASITE PROBLEM OTHER THAN FLEAS.

OWNER’S SIGNATURE: ______________________DATE:____________________

Download
Release and Hold Harmless Agreement