Cypress Falls Pet Resort & Spa - Grooming Agreement

1. Owner's Information

Last Name*

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First Name*

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Street Address*

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Apt#

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City*

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State*

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Zip*

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Phone No.*

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Cell

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Work No.

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E-mail

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Emergency Contact (name):

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Emergency Contact (number):

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Grooming Options

Bath Only

Bath & Groom

Other

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Preferred Pick-up Time

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OR Call when done

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Would you like bows or bandanas?

Bows

Bandanas

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Would you like a finishing cologne?

Yes

No

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Occasionally it is determined that dematting is necessary if there is a risk of excessive hair pulling during a normal grooming process due to the condition of the coat. There is an additional charge for this service.

Would you like to be notified prior to this service being performed?

Yes

No

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2. Pet Information

Pet Name

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Color

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Breed

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Weight

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Age

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Sex

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Altered?

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+ Add Another Pet

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Pet Name

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Color

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Breed

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Weight

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Age

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Sex

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Altered?

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+ Add Another Pet

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Pet Name

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Color

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Breed

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Weight

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Age

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Sex

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Altered?

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3. Medical Illness Policy

As the owner of the pet(s) named above, I understand that CYPRESS FALLS PET RESORT, its employees, officers, and agents will exercise due care and diligence to protect the health and safety of my pet(s) while in their care. In the event my pet becomes ill or sustains an injury, I agree to have CYPRESS FALLS PET RESORT call the emergency contact provided above regarding my pet‘s symptoms and treatment options. However, if I as the owner or authorized agent cannot be reached, I agree to and consent to the veterinarian retained by CYPRESS FALLS PET RESORT to render care for my pet(s) and agree to full payment of all fees for such medical care.

Initials

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4. Medical Information

To prevent the spread of disease while your pet(s) is in our care, dogs must be current on Rabies, distemper, and Bordetella vaccinations. It is the responsibility of the owner to provide proof of vaccination history for each pet using our spa services. The vaccinations must have been administered by a veterinarian prior to arriving at our facility or by a veterinarian of our choice prior to admittance and at the owner‘s expense or they cannot utilize the spa.

Rabies – annually or every 3 years, based on documentation provided by vet
DHPP – booster at age 1, every 3 years thereafter
Bordetella – 6 months or 1 year

5. Terms

Pets are accepted for grooming only under the following conditions:

The animal is fit and healthy. Any grooming, which takes place on an elderly animal or animal with health problems, will be at the owner‘s risk. Grooming may expose pre-existing health/skin problems for which the pet resort cannot be held liable.
Dematting/thinning out of matted hair may cause patchiness and hair loss. Consent to remove the matted hair is on this understanding.
Shaving of pets will dramatically change the pet‘s appearance and the hair will be very close to skin. This may expose pre- existing skin complaints. Your written permission will be required to perform this service.

Initials

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If any pet is found to have fleas and/or ticks at check-in time, CYPRESS FALLS PET RESORT will treat the pet as we deem necessary and owner will be responsible for the cost of such treatment incurred.
Payment will be made as per price list/quote and owners must collect pets at time stated. Uncollected pets before closing each day must pay standard boarding rate per day.

Vet:

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Clinic:

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Phone:

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Medication Given Prior to Groom:

Pet Name

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Medication Name

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Reasons for Use

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Dosage

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Frequency

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Last Dose Given

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Has your dog/cat ever had a seizure?

Yes

No

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If yes, last seizure date:

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Any other medical conditions/special circumstances which could affect the spa treatment?

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Grooming Instructions:

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Prices are subject to change based on the individual pet's coat condition, style, and behavior.
We groom all breeds including mixed breeds.
Only the finest shampoos and conditioners are used and are made from all-natural ingredients. Our products are non-toxic, biodegradable and cruelty-free, which means they are safe for your pet and friendly to our environment.

I have read, understand, and agree to all provisions of this agreement.

SIGNATURE OF OWNER/AGENT FOR PET(S):

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DATE (MM/DD/YYYY)

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CFPR Represenative:

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DATE (MM/DD/YYYY)

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Applications & Forms

Grooming Agreement

1. Owner's Information

2. Pet Information

3. Medical Illness Policy

4. Medical Information

5. Terms

Medication Given Prior to Groom:

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