grooming intake form template

Pet Services Intake and Liability Waiver

Instructions for Use

• Complete all sections of this form accurately, ensuring that medical history and behavioral notes are as detailed as possible to ensure the safety of the animal.
• Review the liability waiver and service terms carefully; both the owner and the service provider must sign and date the document before the commencement of any services.
• Retain a copy of this signed agreement for your records and provide a copy to the service facility for their administrative files.

Parties & Definitions

This Agreement is entered into by and between [Service Provider Name], located at [Business Address] ("Provider"), and [Client Full Legal Name], residing at [Client Home Address] ("Owner"), regarding the pet(s) described below ("Pet").

Pet Information: Name: [Pet Name] | Breed: [Breed] | Age: [Age] | Weight: [Weight] Vaccination Status: [ ] Up to Date [ ] Pending (Provide Date: [__________])

Operative Terms

1. Scope of Services: The Provider agrees to perform the following services: [List specific grooming services, e.g., bath, nail trim, haircut] for the Pet. Any additional services requested by the Owner or deemed necessary by the Provider for the health of the Pet will be charged at the Provider’s standard rate.
2. Health and Safety: The Owner represents that the Pet is healthy and has not been exposed to any contagious diseases within the 30 days prior to the service date. The Owner must disclose any known behavioral issues, including but not limited to aggression, biting, or extreme anxiety.
3. Medical Emergency: In the event of a medical emergency, the Provider is authorized to seek veterinary care. The Owner agrees to be responsible for all costs incurred for such treatment. The Owner’s preferred veterinarian is [Vet Name/Clinic Name] at [Vet Phone Number].
4. Liability Waiver: The Owner acknowledges that grooming can involve risks, including cuts, nicks, or reactions to products. The Owner hereby releases the Provider from any and all liability for injury, illness, or death of the Pet, except in cases of gross negligence or willful misconduct by the Provider.
5. Cancellations: Cancellations must be made at least [Number] hours in advance to avoid a service fee of [Dollar Amount].
6. Photographic Release: The Owner [ ] grants [ ] denies permission for the Provider to use photographs of the Pet for marketing and social media purposes.

Signature & Acknowledgment

By signing below, the Owner confirms they have read, understood, and agreed to the terms of this agreement.

Owner Signature: __________ Printed Name: [] Date: []

Provider Signature: __________ Printed Name: [] Title: [] Date: [__________]

Legal Disclaimer: This document is a general framework provided for informational purposes only and does not constitute legal advice. Please consult with qualified legal counsel to ensure compliance with local, state, and provincial laws specific to your jurisdiction.