Grooming Consent and Release Form
The health and safety of each of our guests is very important to us.
Vaccination record must be presented prior to grooming
. All pets must have current vaccination on the following:
Distemper / Parvo Virus
Canine Influenza H3N8
Canine Influenza H3N2
***ONLY PETS WITH CURRENT VACCINATION WILL BE ACCEPTED FOR GROOMING***
Our business hours are Monday thru Sunday from 11:00AM - 7:00PM. We'll take the last appointment at 4:00PM. Please note that no appointment requests are confirmed until you hear back from us. If you do not hear from us within the next 30 minutes, we encourage you to call us at (702) 658-8820.
First and Last Name
Preferred Method of Contact
Veterinary Clinic OR Attending DVM
Weight (in lbs)
Skin / Health Issues?
If yes, please explain
Get along well with other dogs?
Are there specific issues your dog has had with prior grooming?
Please select the type of service you would like to receive:
FIRST GROOM ($30) - for puppies up to 40 lbs and 4-5 months of age, includes shampoo, conditioner, blow dry, brush out, nail clipping, ear cleaning, anal glands expressed, bandana or bow, cologne
BATH & BLOW-OUT ($25 & up) - our quickest service includes shampoo, conditioner, blow dry & brush out while you wait
BATH & BLOW-OUT SPECIAL ($35 & up) - includes shampoo, conditioner, blow dry, brush out, nail clipping, ear cleaning, anal glands expressed, bandana or bow, cologne
FULL GROOMING ($45 & up)- includes shampoo, conditioner, blow dry, brush out, hair cut, nail clipping and grinding, pads cleaning, ear hair plucking and cleaning, anal glands expressed, bandana or bow, cologne
NONE OF THE ABOVE - just needing an extra service at the moment (see extra services below)
Please select extra services you would like to receive:
Nail Clipping $10
Whitening Shampoo $6
Nail Grinding $5
Whole Body Shaving $10
Medicated Bath $15
Color Nail Polish $8
Sanitary Shaving $5
Teeth Brushing $10
Hair Cutting $15
Flea & Tick Bath with Treatment $25
Facial Hair Trimming $5
De-matting $15 per hour
Furminator De-Shedding $35
Do you want your pet shaved?
Yes #10 Blade (for severely matted hair)
Yes #7 Blade (approximately 1/8 inch length)
Yes #5 Blade (approximately 1/4 inch length)
Yes #3 Blade (approximately 1/2 inch length)
Do you want your pet to have a short body clip?
Yes 1/2 inch Clip Comb
Yes 5/8 inch Clip Comb
Yes 3/4 inch Clip Comb
Yes 1 inch Clip Comb
Special Grooming Instructions
RELEASE INFORMATION (please initial each section)
: Every effort will be taken to make sure your pet gets groomed as safely and carefully as possible. But, unfortunately, ACCIDENTS DO HAPPEN. Dogs are wiggling, scratching, licking, jumping creatures. Whereas dog grooming tools, by necessity, are sharp instruments. In case of mishap, Puppy Boutique Las Vegas will contact you immediately, but will take necessary measures to get your pet the medical attention he/she requires. In the event of emergency, Puppy Boutique Las Vegas will transport your pet to a veterinarian and that any resulting bills will be your sole responsibility.
Matted Dog Policy
: Pets with matted coats require extra attention. If matting is minimal and the pet responds well, we may demat for an extra fee. However, if the matting is severe the least painful and stressful way to remove the mats is by shaving the dog. There is a greater risk of nicking and scratching a matted dog during the grooming process. In addition, the skin may appear red, itchy, and irritated due to lack of oxygen reaching in and under the mats. Puppy Boutique Las Vegas will not be held responsible for any injury sustained while grooming a matted dog, including any after effects. This includes, but not limited to swelling, redness, itchiness, and self-inflicted abrasions due to external rubbing.
Flea & Tick Policy
: If your pet has fleas, we will automatically administer a flea bath. We will notify you if possible. The charge for this service is $10. This cost covers the shampoo, time, and cleaning necessary to ensure that no fleas are active in our premises. The treatment will kill the fleas on your pet, but after leaving our premises, your pet will not be protected from any fleas that may be present in your home or other area.
: Please give us a least a 24-hour notice if you cannot make it to your appointment. The first time you are a no call/no show we will add a $20 charge to your next grooming appointment. After the second no call/no show you will be required to prepay for all your future appointments.
Late Pick-up Charges
: We DO NOT have boarding services at Puppy Boutique Las Vegas. If you are late in picking up your pet you will be charged $1.00 per minute for every minute that you are late after our regular business hour.
: If you are unhappy with our service you must notify us within twenty four (24) hours. We will do what we can to remedy the situation. If there is some kind of miscommunication, we will take note so that we can make it better next time.
THERE WILL BE NO REFUNDS NOR DISCOUNTS.
Right To Refuse Service:
Puppy Boutique Las Vegas reserves the right to refuse service to customers whose pets may pose a threat to our employees or other pets in our care. This includes aggression problems, health problems and parasite problems.
I am the owner or a representative of the owner of the pet described above, and I have the authority to execute this consent. By signing below, I understand and agree to release and hold harmless Puppy Boutique Las Vegas, its owners, employees and affiliates from and against any and all liabilities, expenses, damages, and costs (including attorney fees) resulting from any service provided or injury (including death) to your pet(s) while in our care or afterward.
I agree to electronic signature as follows.
Thank you for choosing Puppy Boutique Las Vegas. We'll see you soon!