Give a Dog a Bath Intake form
Owner's Name _________________________________  1st Dog's Name___________________________________
Phone Number_________________________________   Breed__________________________________________
Alternate Phone_______________________________     DoB___________________ Weight__________________
Textable?_____________________________________    Spay\Neuter_____________________________________
Address________________________________________   2nd Dog's Name___________________________________
_______________________________________________  Breed___________________________________________
Flea Method:     Topical    Oral    Collar   None            DoB_______________________ Weight______________
Any Allergies?___________________________________   Spay\Neuter_____________________________________
______________________________________________    3rd Dog's Name____________________________________
Any Injuries?___________________________________   Breed___________________________________________
_____________________________________________    DoB_________________Weight____________________
Get along well with others?______________________  Spay\Neuter_____________________________________
Vet clinic?___________________________________________________________________________
Because your pet's safety and well-being is my top priority, I want to assure you that every effort will be made to insure your pet's visit is as safe and pleasant as possible. Occasionally, grooming can expose a hidden medical problem or aggravate an existing one.
If your pet is a senior, it is especially important to be aware of these risks.
If your pet is matted or severely tangled, he/she may be at greater risk of injury, stress and trauma. 
ALL PRECAUTIONS WILL BE TAKEN. However, problems may arise during or after grooming.
 In the best interests of your pet I request permission to obtain immediate veterinary treatment for your pet, should it become necessary.                  
Your groomer, Kendra
I hereby grant permission to this give a Dog a Bath to obtain emergency veterinary treatment for my pet at my expense. Also, understanding that every possible precaution has been taken, I will not hold this grooming professional responsible for accident, injury or medical expense.
 
Beginning Date:________/_________/_____________                                                
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