Name Phone Address City State Zip Email Cell Phone
Emergency Information Person who can make decisions for your dog if we can not reach you Phone How were you referred to us? —Please choose an option—InternetYellow PagesVet's OfficeHolland SentinelObserverFriend/FamilyOther
Dog’s Name Breed Color Dog’s Gender MaleFemale Spayed or Neutered? SpayedNeuteredNone Date of Birth
Veterinarian Phone Proof of vaccines must sent by your veterinarian in advance of your pet’s stay Email (preferred): dogsbayinc@gmail.com
Select One: —Please choose an option—SpaSpa PlusNail Trim Only
Spa Includes: Bath, de-tangle, ear wash, hand blow dry, style and nail trim/file Spa Plus Includes: Bath, brush, blow dry, ear cleaning, nail trim and breed appropriate hair cut
Grooming Instructions:
Choose this option if you want your dog to have a bath. You may add any of the following to customize your Spa or Spa Plus Stress Free Grooming $10 Toothbrush $5 Blueberry Facial $3 Pad Protector $3 Paw-ti Toes $10 painted toe nails on front feet Warm Oil Ear Cleanse $5 Hygiene Trim $6 Neat Feet $6 De-shed $10 includes extra brushing and special shampoo/conditioner Zoom and Groom $17
Does your fur friend have any aversions to being groomed?
Any health issues we should be aware of?
Any bumps, warts, hot spots or injuries we should be aware of?
Please initial that you have read and agree to the following
Emergency Policy: In the event of an emergency, we will notify you at the number designated on this form. If we can not reach you, we will contact your emergency contact person.
Illness Policy: If your dog shows signs of parasites, vomiting, diarrhea, contagious skin condition or upper respiratory infection while in our care, we will contact you (or emergency contact if we can’t reach you) for immediate pick up of your pet. You will be charged for any grooming services rendered.
I understand the no call/no show policy stated above.
Mats are a hazard to your dog’s skin and coat. Consent to remove minor mats are included in this agreement and may incur extra charges.
If you want your dog shaved, you understand that stripping your dog it it’s coat does not help your dog stay cool. It actually takes away the dog’s natural insulation (to stay warm and cool) and exposes the dog’s skin to sun burn. It may also affect how your dog’s coat grows back. We will never shave your dog down without your consent.
Payment is due when services are rendered. In the event our groomer finds a need for additional services, we will call you for approval.
Provided all due and diligent care is exercised at all times, I hereby waive and release Dogs Bay and their employees from any and all liability of any nature due to illness and injury.
We require credit card information on file for no call/no show appointments. Please call the office at 269-857-8310 for secure payment information. Please note: We understand things happen, but we ask that you also understand our groomer is paid on commission and her time is very valuable. We will allow one “oh my gosh I forgot to cancel” but after that, you will be billed 50% of your grooming fee to cover our groomer’s time.