Coat Removal Form

You will need to fill out this form if you request a coat removal for your pet against the professional advice of our staff or if a coat is required to be removed because of extensive matting.

Your Name Your Name First Last
I am the:

I am the: Owner of the named pet Guardian of the named pet
Address Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Contact Number
Todays Date Todays Date / MM / DD YYYY
Dog or Cat
Name of Pet:
Breed
Reason for coat removal:

Reason for coat removal: The pet coat is knot free, it is my personal choice and staff have advised against it. The coat is too matted to brush out
Please explain your individual reasons here.
I understand that where a coat is matted the groomer may have to clip very short in places, in very sensitive areas where the skin is very thin. If the skin is nicked or scraped in any way, first aid will be given and i will be notified of:

I understand that where a coat is matted the groomer may have to clip very short in places, in very sensitive areas where the skin is very thin. If the skin is nicked or scraped in any way, first aid will be given and i will be notified of: Where an injury has taken place That first aid has been given If i need to give any further first aid at home or seek veterinary treatment I agree i will pay for any veterinary treatment that may be required
There may be rare complications when coat removal is carried out. I take full responsibility should they occur. Such as:

There may be rare complications when coat removal is carried out. I take full responsibility should they occur. Such as: The skin may show in places The coat regrowth may be affected resulting in a different texture, thickness, colour or length Injuries or infections may be discovered and first aid given Head shaking may occur and skin may be bruised, bleed or be irritated due to the release of pulling from matted hair or scratching by my pet when he is at home. Staff will let me know how i can avoid this. Once home your pet may hide when a lot of coat is removed. If so i will put a jumper on my pet and reassure them

Staff can advise you should any of these occassions occur.
I understand that during coat removal parasites or skin conditions may be found. Where possible i give permission for these to be treated at an additional cost to myself:

I understand that during coat removal parasites or skin conditions may be found. Where possible i give permission for these to be treated at an additional cost to myself: Parasites to be treated Skin conditions to be treated.
I understand:

I understand: Staff will take before and after pictures of my pet and record the grooming session on my pets record card. Pictures will not be used in a public forum without my consent.
Draw your signature into the box below.

Draw or Type

I understand this is a legal representation of my signature. Clear

Full Name

I understand this is a legal representation of my signature.