DATE/TIME:

GROOMING CHECKLIST
~REMINDERS~ BRANCH:
This form should be dully filled up before any pets can be accepted
in our facility and undergo our grooming services.
GROOMER ASSIGNED

CUSTOMER’S DATA:

NAME: TYPE OF CUT

CONTACT NUMBER:

EMAIL:

PET’S DATA
NAME: GENDER: AGE:
PET TYPE [ ] DOG [ ] CAT BREED: SIZE: [ ] S [ ] M [ ] L
COLOR MARKINGS
Does the pet have any existing conditions that may pose as risk during grooming? [ ] NO [ ] YES
If YES, please specify:

PRIVACY CONSENT
By providing my personal data and submitting this form, I authorize Pet Loves Animal Clinic ( Healthy Paws Animal Clinic) to process my
personal information to render the services I require, to send me commercial communications regarding its product, promotions and
services and to enroll my number in its official Viber community. I understand and agree that my personal data will be processed pursuant
Pet Loves Animal Clinic Privacy Policy.

FACIAL (Eyes, Ears, Nose, Head) OBSERVATIONS REMARKS

CUSTOMER INSTRUCTIONS

BODY (Back, Limbs, Tail, Rear, etc..) OBSERVATIONS REMARKS

CUSTOMER INSTRUCTIONS

UNDERSIDE (Belly, Paws, etc.) OBSERVATIONS REMARKS

CUSTOMER INSTRUCTIONS

[ ] I hereby acknowledge that the details specified above were discussed in full knowledge, and shall voluntary withdraw, or agree and
consent to the immediate dismissal of any claim, demand, complaint, and lawsuit of whatever nature against the animal clinic, affiliates
and representatives related to the animal clinic.

__________________________________________________
PET PARENT/ GUARDIAN– SIGNATURE OVER PRINTED NAME