Please complete the release form prior to your first grooming appointment. Form will need to be updated annually. First Name Last Name Street Address Town State Zip Code Home#Cell#Work#Email Preference for Contact: Phone Text Email Dog's Name Breed Color(s) Weight Date of Birth MM slash DD slash YYYY Gender M F Spayed/Neutered Y N Veterinarian Vet. Phone#Emergency Contact and Phone# Please check all that apply and explain below Allergies (food or environmental) Sensitive Skin Biter Moles/Warts Seizures Heart Condition Blind Deaf Aggressive Towards People Aggressive Towards Other Dogs Cage Aggression Other Pet ReleaseYour pet is very important to us, and every effort will be made to make this visit as pleasant as possible. Occasionally, grooming can expose hidden medical problems or aggravate current ones. Senior pets, puppies, and those very matted or difficult to groom are at greater risk of injury or stress. In the event of an emergency, I authorize this establishment to immediately seek professional veterinarian attention for my pet (at my expense). I understand that all attempts will be made to contact me in the event of an emergency. I understand that Angela’s Dog Pawlour puts my pet's comfort above all else. In the event that my pet's coat is matted, I understand that the groomer may have to shave matts out rather than perform a painful dematting procedure. I also understand that if my pet is severely matted there is an increased risk for clipper burn or cuts to occur. I understand that all attempts will be made to prevent this, however, in many extreme matt conditions it is unavoidable. I also understand that matted pets take additional time and effort to groom so there will be an additional fee added onto the regular grooming price if my pet's coat is matted. I understand that it is necessary to have my dog up to date on it's Rabies vaccination prior to every groom. SignaturePrinted Name Date MM slash DD slash YYYY CAPTCHAEmailThis field is for validation purposes and should be left unchanged. Book Appointment Online Now