Page 1 of 1

Furever Fluffy LLC - Dog Grooming Intake & Consent

1. YOUR DETAILS

Owner name

Phone

Email

Address

Backup contact + phone

Authorized alternate pickup person + phone

2. ABOUT YOUR DOG

Name

Breed/mix

Birthday

Color/markings

Sex

A
B

Spayed/neutered

A
B

Rabies vaccination document

A
B

3. HEALTH & HANDLING - CHECK ANY THAT APPLY

Check any that apply

Medications, diagnoses, allergies, or handling triggers we should know:

Sensitive areas / grooming requests (optional):

4. TREATS - SELECT EACH ONE YOU ALLOW

Select each one you allow

Foods my dog must NOT have / food allergies:

5. GROOMING & SAFETY AGREEMENT

I authorize Furever Fluffy LLC to groom my dog. I have shared relevant health, behavior, and handling concerns and will tell the groomer if anything changes before a future appointment. Grooming may involve bathing, drying, brushing, nail care, and clipping or trimming as appropriate.

If my dog has painful matting, skin irritation, fleas, or becomes too distressed or unsafe to handle, the groomer may pause or stop the service. The groomer will contact me to discuss a shorter cut, additional time or charges, or an incomplete groom. Mat removal or a shorter cut can reveal existing skin irritation.

6. IF MY DOG NEEDS URGENT CARE

Please call me first when reasonably possible. If urgent care cannot wait or I cannot be reached, I authorize Furever Fluffy LLC to transport my dog to Animal Emergency Hospital DeLand, 2100 E New York Ave, DeLand, FL 32724, (386) 252-0337, and seek veterinary evaluation. If a grooming-related injury requires an emergency visit, Furever Fluffy LLC will cover that emergency visit, as stated in my prior agreement.

Owner initials for emergency authorization:

7. APPOINTMENT TERMS

Please give at least 24 hours notice to cancel or reschedule; a late cancellation fee may apply. Pick up your dog within 2 hours after we tell you the groom is complete; an additional boarding fee may apply after that. If behavior prevents us from completing the groom, you may owe a charge for work already performed. Any fee amount will be disclosed before it is charged.

8. OPTIONAL PHOTO PERMISSION

May we use photos or video of your dog on our website, social media, or marketing?

A
B

9. SIGN & CONFIRM

By signing, I confirm the information above is accurate, I have read the grooming and appointment terms, and I authorize the services and emergency care described here. Photo permission is optional.

Owner signature:

Signature

Date:

Printed name: