Brookside Barkery & Bath

Grooming Pickup and Delivery Waiver

Client Information
Name*
First Last
Email*
Enter Email Confirm Email
Address*
Street Address Address Line 2 City State ZIP Code
Preferred Phone*
Emergency Phone #
In the event of an emergency, if we cannot reach you, The Barkery will seek appropriate medical treatment.
Pet 1 Information
Pet Type*
- Canine
- Feline
Sex*
- Male
- Female
Pet's Name*
Breed*
Color*
Approx. Weight*
Age*
List Any Allergies/Health Concerns/Behavior Concerns
Additional Pets
Please fill out a separate form for each additional pet needing pickup and delivery grooming services.
Client Acknowledgment
Client Acknowledges*
- I acknowledge that I have read and understand the Client Agreement.
View our Client Agreement.
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