Hound & Purr Release Form Release Form Last Name * First Name * Co-Owner Last Name Co-Owner First Name Address * City * Province * Postal Code * Home Phone Business Phone Cell Phone * Co-Owner Home Phone Co-Owner Business Phone Co-Owner Cell Phone Email * How did you hear about us? * What brand of food/treats are you currently feeding? * Emergency Contact Name * Emergency Phone * Relationship * Pet’s Information Repeater Species * DogCatRabbit Pet’s Name * Date of Birth * Breed * Male/Female * Spayed/Neutered * Colour * Microchip/Tatoo * plus1 Add minus1 Remove Veterinarian Information Practice Name * Veterinarian Phone * Veterinarian Address * Veterinarian City * Veterinarian Province * Veterinarian Postal Code * Hound & Purr has a goal to provide the safest, most enjoyable grooming experience for you and your pets. We strive to maintain a clean grooming salon and provide the highest standards possible with our grooming and the products we use. Below are some policies we have developed to ensure the safety and happiness of your pets while in our care. Please read the following and initial: Please bring your pet in on a properly fitting harness/collar and leash or carrier for their safety HEALTH OR MEDICAL PROBLEMS Your pet is our number one concern. If you suspect they are feeling under the weather, please notify us in advance. Grooming can be physically demanding and can aggravate pre-existing health problems. It is our policy to refuse entry to any dog or cat who is displaying symptoms of any contagious condition. If you have a concern about an issue that arises after a grooming appointment we request that you bring it to our attention within 24-48 hours so it can be addressed immediately. All medical expenses for veterinary care will be covered by the pet’s owner upon signing this contract/agreement. Does pet have health or medical problems? * YesNo If yes, please describe details * Initials for health or medical problems * signature keyboard Clear ACCIDENTS Although accidents are very rare, there is a risk when dealing with animals. Grooming equipment is sharp, and although we use extreme caution and care in all situations, possible problems could occur including cuts, nicks, scratches, cracking of nails, etc. In most cases this can happen when and animal is wiggling or moving around. Your pet’s safety and comfort are our number one priority. In the event an accident does occur, you will be notified. If Hound & Purr feels it is serious, and the owner is not on site, Hound & Purr will seek immediate veterinary care for your pet. Initials for accidents * signature keyboard Clear AGGRESSIVE BEHAVIOUR Grooming can be stressful for sensitive pets and some tolerate it better than others. Our professionally trained staff uses proper handling techniques and equipment to deal with most dispositions. Please ensure to inform our staff at time of booking if your pet requires special handling so we can book accordingly. Has my dog ever bit a veterinarian, veterinarian technician, pet groomer, pet walker, pet day care worker? * NoYes Was that bite reported to a municipality? If yes, which one? * NoYes Municipality * Has my dog been involved in a dog fight? * NoYes Has my dog ever had to be muzzled for a groom? * NoYes Has my dog ever been refused service at a groomer for aggressive behavior? * NoYes Initials for aggressive behaviour * signature keyboard Clear CURRENT VACCINATIONS We recommend that you follow your veterinarian’s protocol for vaccination to protect your pet from communicable diseases. As a result, dogs should be vaccinated for DA2PP (Distemper, Adenovirus-2, Parvovirus & Parainfluenza), Rabies and Bordetella recommended. Cats should be vaccinated for FVRCP (Feline Viral Rhinotracheitis, Calicivirus & Panleukopenia) and Rabies. Initials for current vaccinations * signature keyboard Clear VETERINARIAN AUTHORIZATION – MEDICAL EMERGENCIES This release gives Hound & Purr full authorization to seek medical treatment from our neighbor, The Kingsway Animal Hospital, in the case of any medical emergencies while in the care of Hound & Purr. Initials for veterinarian authorization - medical emergencies * signature keyboard Clear FLEAS/TICKS Hound & Purr strives to be a flea-free salon. Any dog or cat that we discover to have fleas is immediately give a flea bath to reduce the risk of parasite transmission to the other pets in our care. The salon is thoroughly treated with a flea spray after every case of fleas is discovered to protect the other pets that visit us. And extra fee of $15 is always applied to the grooming bill to cover the cost of extra labour associated with the flea bath ($60) as well as the shampoo and fumigation products. There are currently many flea control products on the market, but in order to find one that is safe for your pet, you need to discuss all products with your veterinarian. Many of the monthly treatments available can be used topically or orally and are very successful in repelling fleas from your dog or cat’s skin and fur. Initials for fleas/ticks * signature keyboard Clear PET’S LAST GROOM DETAILS Date * Name of Salon/Groomer * Salon/Groomer Phone * MATTED COATS There are many reasons a pet can get matted. When the dog or cat’s hair becomes tangled or clumped close to the skin, it can pose a health risk for the dog/cat and increases the chance of skin irritation or injury during the grooming process. There are really only two options when a pet’s coat is deemed matted – shave under the matted portion of hair, leaving the hair shorter but greatly reducing the stress on the dog or cat. The other option that is available to some pet owners (providing the pet isn’t too far gone) is de-matting. This service is only available for pets who can both tolerate it and when the matting is not so severe that de-matting poses a high risk of injury or stress. Both the de-matting process and stripping off matted coat can be a slow process that takes skill and extra care from our groomers. It is also demanding on our bodies, equipment and often requires extra sharpening of blades and scissors. Because of these reasons, there are extra fees associated with both the de-matting and clipping of a matted coat. Prevention is the best defense by scheduling regular grooming appointments, every 6-8 weeks. Is My Pet Matted? * YesNoYes, I submitted the Matted Pet Form Many pet parents will choose to shave their pet’s coat to help with temperature control, ease of maintenance or removal of a coat in bad condition among many other reasons. While our groomers will use care and precaution during the groom, there are some risks associated with shaving a pet’s coat and recently shaved coats will require maintenance to support healthy re-growth. Risks Associated with Shaving Pets Coat might not grow back evenly or may grow back in patches Coat could look different in colour or texture when it grows back Without the protection of their coat, your pet can get sunburned or become overheated easily Shaving pets may make them self-conscious and they may behave differently than normal. For example, they may be more irritable or timid Shaving your pet may reveal pre-existing skin conditions that were undetectable prior to shaving Pets with underlying medical conditions may have a harder time re-growing hair Maintenance or Recently Shaved Pets Maintaining the coat as it grows back is VERY important as the coat now has no weight to shed naturally and weekly brushing will help support the new growth Regular bathing to help the skin and hair follicles remain clean is important in supporting proper hair re-growth While it is best to keep pets out of direct sun as much as possible application of sunscreen or a clothing barrier may be necessary for pets who are out in the sun If mats are found, it is possible that all or part of the coat may not be able to be brushed out without causing undue discomfort to your pet. For these pets, the matted areas may require shaving. Risks involved with shaving sections or the entire coat of your pet due to matting are associated with the same risks and maintenance needs above in addition to the risks specific to matted hair coats. Additional Risks with Matted Pets Matted coats can hide skin that is red, irritated, swollen or cracked Matted coats can conceal the presence of fleas, ticks or other parasites Matted coats can make it impossible to determine in advance the presence of any moles, warts, scabs, skin tags or any other condition on the pet’s skin and that makes it more likely that the groomer might accidentally remove, nick, cut open, or damage the skin growth The grooming process necessary to remove matting may aggravate the pet’s skin. Matted pets may experience skin reactions such as hot spots, irritated or sensitive skin or aural hematomas if mats were located on or around the pet’s ears I understand the risks involved with grooming a matted coat. I understand that having my pet groomed on a more regular schedule and proper home maintenance will prevent my pet from getting a matted coat. Signature for matted coats agreement * signature keyboard Clear Date * Initials for if pet is matted * signature keyboard Clear SCHEDULED APPOINTMENTS & CANCELLATIONS Scheduling is important to maintain the flow of the shop. We strive to book appointments so we can keep our appointment times short (as best we can) and accommodate our client’s schedules. If unable to make a scheduled appointment, we would appreciate 2 business days' notice during business hours (cancellation outside of business hours i.e. Sundays is not within business hours) or a $25.00 fee will be charged on your next visit. NO SHOWS - If you do not show up for your scheduled appointment, you are responsible for 100% of the service fee. This fee must be paid before re-booking your appointment. If the fee is not paid, your account will be de-activated and no future booking will take place. LATE ARRIVALS - Please give us a call if you are running late for your scheduled appointment. If you are more than 15 minutes late, your appointment may have to be re-scheduled or the service type changed. If the appointment is being re-scheduled, 100% of the service fee must be paid before re-booking. If the fee is not paid, your account will be de-activated and no future bookings will take place. Lates fees of $1 a minute may also apply. Initials for scheduled appointments & cancellations * signature keyboard Clear PAYMENT Payment is due when services are rendered. We accept Visa, Master Card, American Express, Debit and Cash are preferred. Initials for payments * signature keyboard Clear CLIENT REQUESTS & SATISFACTION Customer service is very important to all of our staff. We do our very best to accommodate all customer requests, however if a pet’s temperament or health condition prevents us from fulfilling a client’s wishes we will communicate our concerns beforehand whenever possible. Your satisfaction is important to us. If you are unhappy for any reason and would like something adjusted, we will be happy to make any adjustments when you pick up your pet from his/her appointment. Once you take your pet home from the appointment, any return visits will be treated as a new appointment and the client will be charged a grooming fee of some kind. Initials for client requests & satisfaction * signature keyboard Clear PHOTOGRAPHS & SOCIAL MEDIA This release form authorizes Hound & Purr to take photos of your pet for client files and company website, Facebook and Instagram pages. All photos taken are the property of Hound & Purr. Initials for photographs & social media * signature keyboard Clear E-MAILS AND TEXT MESSAGES This release for authorizes Hound & Purr to use the e-mail and cell phone noted above as a form of communication. Client is able to opt out at any point without given notice. Initials for e-mails & text messages * signature keyboard Clear I have reviewed this Service Contract for accuracy and understand the contents of this contract. I affirm that I am the rightful legal owner of the pet(s) for which services are being rendered. I am 18 years of age or older and have the authority, as pet’s owner, to enter into this agreement. I authorize this signed contract to be valid approval for future grooming services, permitting Hound & Purr to accept online and telephone reservations for service without additional signed contracts or written authorization. I understand that pricing is subject to change. This agreement is valid for all pets that I currently own or will own in the future. I have read, signed and agreed to the above. Upload vet documents, pictures, etc. (can upload multiple files) Drop a file here or click to upload Choose File Maximum file size: 10MB Signature for release form * signature keyboard Clear Date * Submit If you are human, leave this field blank.
