Pet Grooming Consent Form

PET GROOMING CONSENT FORM

DOCUMENT INFORMATION

PARTIES

Grooming Service Provider:

• Business Name: [GROOMING BUSINESS LEGAL NAME]
• Groomer Name: [PRIMARY GROOMER NAME]
• License/Certification: [LICENSE NUMBER, IF APPLICABLE]
• Address: [ADDRESS]
• Phone: [PHONE]
• Email: [EMAIL]

Pet Owner:

• Name: [PET OWNER FULL LEGAL NAME]
• Address: [ADDRESS]
• Phone (Primary): [PHONE]
• Phone (Secondary): [PHONE]
• Email: [EMAIL]

SECTION 1: PET INFORMATION

1.1 Pet Identification

1.2 Vaccination Status

☐ Rabies vaccination current - Expiration: [DATE]
☐ Other vaccinations current
☐ Vaccination records on file

Veterinarian:

• Clinic: [CLINIC NAME]
• Phone: [PHONE]

1.3 Health Disclosure

Current Health Status:

☐ Pet is in good health
☐ Pet has the following health conditions:

Check all that apply:

☐ Skin conditions (allergies, hot spots, rashes)
☐ Ear infections or sensitivity
☐ Eye problems
☐ Arthritis or joint issues
☐ Heart condition
☐ Seizure disorder
☐ Diabetes
☐ Lumps, bumps, or growths (location: [LOCATION])
☐ Recent surgery (date: [DATE], type: [TYPE])
☐ Pregnancy
☐ Senior pet (special handling needed)
☐ Other: [SPECIFY]

Allergies:

☐ None known
☐ Shampoo/product sensitivities: [SPECIFY]
☐ Other allergies: [SPECIFY]

Current Medications:

☐ None
☐ List: [MEDICATIONS]

1.4 Behavioral Information

Temperament during grooming:

☐ Calm and cooperative
☐ Nervous/anxious
☐ Aggressive (biting, snapping)
☐ Fearful
☐ Unknown/first grooming

Problem areas (check all that apply):

☐ Sensitive feet/nail trimming
☐ Sensitive ears
☐ Sensitive face
☐ Sensitive tail/rear
☐ Does not like dryers
☐ Does not like clippers
☐ Does not like water/bathing
☐ History of biting groomer
☐ Other: [SPECIFY]

Has your pet ever bitten or attempted to bite during grooming?

☐ No
☐ Yes - Describe incident: [DESCRIPTION]

SECTION 2: GROOMING SERVICES REQUESTED

2.1 Service Selection

Bath Services:

☐ Basic Bath - $[AMOUNT]
☐ Deluxe Bath (includes conditioning treatment) - $[AMOUNT]
☐ Medicated Bath (specify: [PRODUCT/CONDITION]) - $[AMOUNT]
☐ Flea/Tick Bath - $[AMOUNT]
☐ De-shedding Treatment - $[AMOUNT]
☐ De-skunk Treatment - $[AMOUNT]

Haircut/Styling:

☐ Breed Standard Cut - $[AMOUNT]
☐ Puppy Cut/All-Over Trim - $[AMOUNT]
☐ Teddy Bear Cut - $[AMOUNT]
☐ Lion Cut - $[AMOUNT]
☐ Sanitary Trim Only - $[AMOUNT]
☐ Face/Feet/Tail Trim - $[AMOUNT]
☐ Full Shave Down (matting) - $[AMOUNT]
☐ Custom Style: [DESCRIBE] - $[AMOUNT]

Additional Services:

☐ Nail Trim - $[AMOUNT]
☐ Nail Grinding/Dremel - $[AMOUNT]
☐ Ear Cleaning - $[AMOUNT]
☐ Ear Plucking (if appropriate for breed) - $[AMOUNT]
☐ Teeth Brushing - $[AMOUNT]
☐ Anal Gland Expression (external) - $[AMOUNT]
☐ Paw Pad Trim - $[AMOUNT]
☐ Bow/Bandana - $[AMOUNT] or ☐ Complimentary
☐ Cologne/Finishing Spray - $[AMOUNT] or ☐ Complimentary
☐ De-matting (per 15 min) - $[AMOUNT]
☐ Other: [SPECIFY] - $[AMOUNT]

2.2 Style Instructions

Desired coat length: [SPECIFY LENGTH OR "GROOMER'S DISCRETION"]

Special instructions:
[PROVIDE DETAILED INSTRUCTIONS OR ATTACH PHOTO]

☐ Photo of desired style attached/provided

SECTION 3: MATTING POLICY AND CONSENT

3.1 Matting Disclosure

Owner acknowledges understanding of the following:

☐ Severely matted coats can cause skin irritation, bruising, and restrict blood flow
☐ De-matting can be painful and stressful for the pet
☐ In cases of severe matting, a "humanitarian shave" may be the safest option
☐ Shaving matted coats may reveal hidden skin conditions, sores, or injuries
☐ Skin may be irritated after shaving due to clipper contact with sensitive skin
☐ Coat may not grow back the same texture or color

3.2 Matting Authorization

If my pet's coat is found to be matted, I authorize the groomer to:

☐ Option A: Attempt de-matting

• I understand de-matting takes additional time and cost ($[AMOUNT] per 15 minutes)
• I understand groomer will stop if pet shows signs of distress
• Maximum de-matting time authorized: [TIME] minutes

☐ Option B: Proceed with shave-down if matting is severe

• I understand this may result in a very short coat
• I accept the risk of skin irritation or hidden conditions being revealed

☐ Option C: Contact me before proceeding with any de-matting or shaving

• Phone to reach me: [PHONE]
• If unable to reach, groomer should: ☐ Wait ☐ Proceed with best judgment

3.3 Matting Waiver

☐ I understand and accept the risks associated with grooming a matted pet, including but not limited to: clipper irritation, nicks, skin abrasions, and post-grooming discomfort. I release the groomer from liability for these conditions when they result from the matted state of my pet's coat.

Owner Initials: _______ Date: _______

SECTION 4: SENIOR AND SPECIAL NEEDS PETS

4.1 Senior Pet Acknowledgment

If pet is 8 years or older:

☐ I acknowledge my pet is a senior and may have age-related health concerns
☐ I authorize the groomer to take extra breaks as needed
☐ I understand the grooming process may take longer
☐ I accept additional risks associated with grooming senior pets

4.2 Special Needs Accommodations

☐ Pet requires special handling due to: [SPECIFY]
☐ Pet cannot stand for extended periods
☐ Pet has limited mobility
☐ Pet is blind or deaf
☐ Pet requires sedation (veterinarian-prescribed only)
☐ Other accommodations needed: [SPECIFY]

SECTION 5: EMERGENCY TREATMENT AUTHORIZATION

5.1 Emergency Contact

If Owner cannot be reached:

Emergency Contact:

• Name: [NAME]
• Relationship: [RELATIONSHIP]
• Phone: [PHONE]

5.2 Veterinary Authorization

Preferred Veterinarian:

• Clinic: [CLINIC NAME]
• Phone: [PHONE]
• Address: [ADDRESS]

☐ If my pet requires emergency veterinary care during the grooming appointment, I authorize [GROOMING BUSINESS] to transport my pet to the above veterinarian or the nearest emergency facility.

☐ I authorize emergency treatment up to $[AMOUNT] if I cannot be reached.

☐ I agree to pay all veterinary expenses resulting from emergency care.

5.3 Medical Release

I authorize the groomer to:

☐ Administer first aid for minor cuts or injuries
☐ Apply styptic powder to stop minor nail bleeding
☐ Clean minor abrasions
☐ Seek emergency veterinary care if pet shows signs of distress

Owner Initials: _______ Date: _______

SECTION 6: LIABILITY WAIVER AND ACKNOWLEDGMENTS

6.1 Grooming Risks Acknowledgment

Owner acknowledges and understands that grooming services involve certain inherent risks, including but not limited to:

☐ Minor cuts, nicks, or abrasions (particularly around face, ears, and sanitary areas)
☐ Clipper irritation, especially on matted or sensitive skin
☐ Nail quick cutting resulting in minor bleeding
☐ Ear sensitivity or irritation from cleaning
☐ Stress, anxiety, or fatigue
☐ Allergic reactions to grooming products
☐ Pre-existing conditions being aggravated
☐ Post-grooming scratching or skin irritation
☐ In rare cases, more serious injury

6.2 Assumption of Risk

☐ I voluntarily assume all risks associated with pet grooming services
☐ I understand that despite the groomer's best efforts, incidents may occur
☐ I have fully disclosed all known health and behavioral issues

6.3 Waiver and Release of Liability

I, THE UNDERSIGNED PET OWNER, HEREBY RELEASE, WAIVE, AND DISCHARGE [GROOMING BUSINESS NAME], its owners, employees, and agents from any and all liability, claims, demands, and causes of action for any injury, illness, or damage to my pet arising from grooming services, EXCEPT where caused by gross negligence or willful misconduct.

6.4 Indemnification

I agree to indemnify and hold harmless [GROOMING BUSINESS NAME] from any claims, damages, or expenses (including attorney fees) arising from:

☐ My pet's behavior causing injury to grooming staff or other pets
☐ Inaccurate or incomplete information provided by me
☐ My pet's undisclosed health conditions
☐ My pet's aggressive behavior

6.5 Limitation of Liability

☐ I understand that [GROOMING BUSINESS NAME]'s maximum liability is limited to the cost of grooming services provided
☐ I waive any claim for consequential, emotional distress, or punitive damages

6.6 Bite/Injury Policy

☐ I understand that if my pet bites or injures a groomer, I may be held liable for medical expenses and the grooming session may be terminated immediately
☐ I may be required to provide proof of rabies vaccination
☐ Future services may be refused

SECTION 7: POLICIES AND PROCEDURES

7.1 Appointment Policies

Drop-off Time: [TIME]
Estimated Pick-up Time: [TIME]

☐ I understand pick-up times are estimates and may vary
☐ I will be contacted when my pet is ready
☐ Pets not picked up within [1/2] hour(s) of notification may incur a holding fee of $[AMOUNT]/hour

7.2 Cancellation Policy

7.3 Refusal of Service

Groomer reserves the right to refuse or discontinue service if:

☐ Pet poses a safety risk to staff
☐ Pet is too stressed to continue safely
☐ Pet has fleas, ticks, or other parasites (treatment may be applied at owner's expense)
☐ Vaccination records are not current
☐ Pet's condition requires veterinary attention

7.4 Photos and Social Media

☐ I consent to photos/videos of my pet being used for social media and marketing
☐ I do NOT consent to photos/videos being used for marketing

SECTION 8: PAYMENT

8.1 Estimated Cost

Final price may vary based on coat condition, size, and time required

8.2 Payment Terms

☐ Payment due at time of service
☐ Accepted methods: ☐ Cash ☐ Check ☐ Credit Card ☐ [OTHER]

8.3 Gratuity

☐ Tips are appreciated but not required
☐ Tip included: $[AMOUNT]

SECTION 9: ACKNOWLEDGMENT AND CONSENT

9.1 Owner Acknowledgment

By signing below, I acknowledge and agree that:

☐ I am the legal owner of the pet or am authorized to consent to grooming services
☐ I have read and understand this entire consent form
☐ All information provided about my pet is accurate and complete
☐ I have disclosed all known health conditions and behavioral issues
☐ I understand and accept the inherent risks of grooming
☐ I authorize the grooming services selected above
☐ I authorize the matting policy selected in Section 3
☐ I authorize emergency veterinary care as specified
☐ I agree to the liability waiver and release
☐ I agree to pay for all services rendered
☐ I have received a copy of this consent form

SIGNATURES

PET OWNER:

Signature: _________________________________

Printed Name: _________________________________

Date: _________________________________

GROOMER:

Signature: _________________________________

Printed Name: _________________________________

Date: _________________________________

POST-GROOMING NOTES

Completed by Groomer:

Final Charges:

Payment Received: ☐ Yes Method: [METHOD] Amount: $[AMOUNT]

This Pet Grooming Consent Form is provided for informational purposes only and does not constitute legal advice. Professional groomers should maintain appropriate liability insurance and comply with all applicable state and local regulations. Consult with a qualified attorney before use.