Opening Hours: Mon - Sat | 9.00am - 5:30pm

087 0685737

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087 0685737

Dog Grooming Release Form

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Please ensure that you have read the dog grooming terms agreement carefully before completing this form.  The agreement includes a release of liability and waiver of legal rights.

This form is best completed on touch device such as a mobile phone or tablet.

Existing/New Client Existing Client New Client

Owners Name

Pet's Name

Pet's Breed

Address

Eircode

Main Phone

Alternate Phone

Email

Emergency Contact

Emergency Contact's Phone

Veterinary practice used

Vaccination recorded dates

Any Medical Problems

Past Grooming problems

Any Additional Information

I have read and fully understand the terms and that I have given up substantial rights by signing it and have signed freely and voluntarily without any inducement, assurance or guarantee and agree that if any portion of this agreement is held to be invalid or unenforceable, the remainder of this agreement shall remain in full force and effect.

Signature of Owner or Representative

Reset

Date of Signature

Choose Date

submit

Thank you for completing the form

We will keep your form on file for future grooming for your dog. 

You must complete a seperate form for any other dog you wish to have groomed at Barker and Bowes.

 

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