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New Client Form Date: ___________ Time: ____________
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Client Contacted us via: Email Business Phone Home phone Other:______________________
Client’s Name: ___________________________________________________________
Home Address:________________________________________________________________
Email Address: __________________________________________________________
Home Phone #: (_____) ________________ Work#: (____) ______________
Cell#: (____) ________________
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Directions to Home:___________________________________________________________
Estimated Travel: ____Miles _____Min
Where did they find our name? _______________________________________________
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Pet Type
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Pet Name
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Description
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Sex
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Age
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Health Issues
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Notes
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Notes:
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Policy Agreement
Every family will be asked to read and sign the Policy Agreement as follows:
I do here by entrust my pet(s) to Cathy Burnett [Top-Notch Mobile Grooming] for the purpose of grooming my pet(s). I am aware that all due care will be taken with my pet(s) for the safety of pet and groomer. I am aware that neglect of my pet's coat can be a cause for problems after grooming such as clipper/brush irritation. If my pet is wiggly or doesn't remain still during the grooming procedure accidents can happen such as nicks from clippers or scissors. I am aware that if my pet's coat is matted my options are:
*1. If I want to save coat...but not pay for de-mat charges, I will brush out the coat and Cathy will return at a later date to groom my pet, however I will incur a $30 fuel fee, as fuel was expended to come to my location.....
*2. I will let Cathy brush out my pet if possible and safe, at a fee of $1 per minute, or a minimum charge of $20 in addition to my regular grooming fee.
*3. My pet will receive a Hydro-clip, or a dry shave down and start over. Hydro-Clip is an additional fee but sometimes can save more hair, but it's messy and there is an additional fee. If my pet is shaved and started over, but I want the ears and tail saved and it is matted, I understand there will be a minimum de-mat fee.
Photos/Pictures: Photos and pictures may be taken of my pet before, during or after grooming, for use on the web site, advertising and education.
In the event I need to CANCEL my appointment: I understand that I must notify Cathy at least 24 hours prior to my scheduled appointment. Leaving a message on machine is fine. I am also aware that should I fail to do so I will have an additional $30 Fuel Fee added to my next grooming charges or billed to me.
I understand that cancellations may occur at anytime by Top-Notch Mobile Grooming due to weather/road conditions, equipment failure, etc. I understand that every effort will be made to contact me for rescheduling and will be on a case by case basis.
There is a $30 fee for NSF/returned check at which time I will go in a cash basis only.
Cathy Burnett of Top Notch Mobile Grooming has the right to refuse service: In the event of a pet she can NOT handle safely. Tranquilized pets will not be accommodated as they should be done in the safety of a vet clinic/hospital with an 'in-house' groomer. The use of muzzles, slings, straps, etc., are acceptable safety measures. Grooming services can be stopped mid-groom if necessary for the safety of my pet or groomer and I understand I will pay for the portion of the groom completed or a $30 fuel fee which ever is greater.
Home and property damage: Cathy Burnett [Top-Notch Mobile Grooming] will not be held responsible for damages to my yard, home or property while on the service call for grooming my pet(s). As the owner or caregiver, I authorize Cathy Burnett [Top-Notch Mobile Grooming] to perform scheduled grooming appointments while I am away from home or property. In the case where a key is left or given to my home, Cathy Burnett will not be held responsible for any damages or theft to my property. I will sign an invoice/work order each time my pet is groomed as requested, and I will leave a note with my authorization [signature] for grooming should I not be home.
Signature Required for Grooming Services:
I the undersigned do understand and agree to the above terms for the grooming and maintenance of my pet(s) and in consideration of the grooming services of Top-Notch Mobile Grooming agree to hold harmless from damage, loss or claims arising from any known or unknown pre-existing condition of my pet(s). The terms, special services or handling shall include but are not limited to veterinarian emergency services in the event I am not available.
I authorize Cathy Burnett to act as my agent in the event emergency veterinarian services, boarding, care-taking, and/or transportation is necessary and I agree to pay all costs. Any/all damages, loss or claim shall include but not limited to death, injury, or shock. Said pre-existing conditions shall not be limited to advanced age, extreme nervousness, neurosis, illness, previous injury, skin or coat conditions, or mental conditions.
I have read and understand my rights and obligations as written in this agreement for the services of pet grooming through Top-Notch Mobile Grooming.
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owner signature & date