NEW CUSTOMER FORM

Owner Name *
Owner Name
Address *
Address
Primary Phone *
Primary Phone
How many pet do you have
SKIP THIS SECTION IF YOU ONLY HAVE ONE PET
PET MEDICAL INFORMATION *
(1) I understand that even if my dog is vaccinated against canine cough (bordetella), there is a chance that my dog can still contract canine cough. It is my responsibility to provide proof of vaccination for my dog. Dogs whose shots are not up to date will not be allowed to attend. (2) I give you permission to authorize emergency medical care for my pet(s) as deemed necessary by a veterinarian, and I will be responsible for full payment of such care. I authorize Paw Envy Pet Care, Inc., to approve veterinary treatment up to $200. (3) I will assume full responsibility upon my return for payment and/or reimbursement for veterinary services rendered up to the stated amount. I understand that Paw Envy Pet Care, Inc., cannot be help responsible for the results of the veterinary treatment or the loss of my pet. I understand it is my responsibility to update any emergency information whenever necessary.
FOR GROOMING *
We care about your pet and we want to assure you that every effort will be taken to make your pet’s visit a pleasant as possible. Occasionally, grooming can expose a hidden medical problem or aggravate a current one. This can occur during or after grooming. No matter how carefully we performed, grooming services could involve some degree of risk. For your pet’s best interest, we request your permission to obtain immediate veterinary treatment for your pet, should it become necessary. I realize there is a risk of injury, illness or death in any environment associated with numerous pets. I will not hold Paw Envy Pet Care, Inc., responsible for any injury, illness,death and that I am solely responsible for my pet. Therefore, I hereby release Paw Envy Pet Care, Inc., from and against any claim, liability or cause of action relating to the negligence of any Paw Envy Pet Care, Inc. and their staff and volunteers, including its owners, that relates directly or indirectly to any claim, cause of action or liability. I may have or assert against Paw Envy Pet Care, Inc., relating to my pet’s stay and/or participation in activities while at the facility. I give Paw Envy Pet Care, Inc., permission to obtain emergency medical care for my pet(s) as deemed necessary by a veterinarian at my expense. I also realizing senior and fuzzy pets have a greater chance of injury during grooming. I will not hold Paw Envy Pet Care, Inc., responsible for accident or injury to my pet during the grooming procedure.