RELEASE FORM FOR ELDERLY INFIRM and/or SERIOUSLY MATTED PETS

Shop name______________________________

Address_____________________________

phone____________________________

I hereby agree to in no way hold responsible the above named grooming shop or its employees for any problem resulting from the grooming of my pet.

I further agree to obtain veterinary attention for my pet within 24 hours of the grooming date should such action be be advised by the staff of

Shop Name_________________________.

I grant permission for this grooming establishment to obtain emergency veterinary treatment for my pet should it become necessary.

Pet's Name__________________________

Owners' Name________________________

Breed_____________________________

Date_______________________

Veterinarian________________________

Signature_____________________________






Contributed By: "Terri B. Everwine" everte@home.com