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PUPPY IN MY POCKET

DOG GROOMING

Client Waiver (2023 Revision) 

PLEASE READ CAREFULLY

To the best of your knowledge, you, the undersigned customer of Puppy In My Pocket, agree and state that your dog is in good health and does not have any behavioral concerns, or pre-existing health conditions that would prevent them from safely receiving services. You also understand it is your responsibility to inform Puppy In My Pocket of any potential behavioral concerns or pre-existing health conditions before any services. These conditions could be but are not limited to aggressions, fears, joint pain or injury, breathing restrictions, etc. 

I Agree
 

If your dog becomes hurt or ill while in our care, Puppy In My Pocket will first attempt to contact you. If you cannot be reached, you agree that Puppy In My Pocket has permission to seek medical assistance for your dog from a veterinarian of our choosing, if necessary. In the unlikely circumstance where your dog requires immediate medical attention and you are not available to provide instructions, you agree Puppy In My Pocket has full discretion to make decisions regarding treatment or the administration of medications to your dog. In all circumstances, we will exercise our best judgment and always take your dog's best interest into consideration. All unforeseen expenses related to the care of your dog will be paid promptly by you, the undersigned.

I Agree

Puppy In My Pocket will not be held responsible for any sickness or injury caused by your dog to themselves while in our care and control. We will not be held responsible for clipper burn and/or minor nicks resulting from the grooming of matted, neglected coats or irritation caused by removing hair from dogs possessing mild to severe skin allergies, nor for any stressful effects that grooming may have upon your dog. We are not to be held responsible for the unexpected death of your pet for any reason whatsoever unless that death results from our direct gross negligence. 

I Agree

Puppy In My Pocket reserve the right to charge additional fees for services/situations we consider over/above our base published rates. We also reserve the right to refuse any service at our sole discretion towards dogs that may pose a threat or concern to us, other dogs left in our care, or other clients within our facility without the need for explanation or justification. The undersigned agrees that additional fees may also pertain to any property damage caused by their dogs while within our facility.

I Agree

The undersigned understands that their dog, any guest, or themselves may be videotaped or photographed while on our premises and that media becomes the property of Puppy In My Pocket.

I Agree


Cancellations, Late Arrival & No Show Policy:

I understand that all cancellations MUST be done via phone call/voicemail or email. Appointments attempted to be cancelled by any other means will be considered invalid and could result in a no-show fee.

By providing your signature on this document, you understand that Puppy In My Pocket requires 24 hours notice for cancelling an appointment nor can you be more than 15 minutes late to said scheduled appointment.

Cancelling less than 24 hours prior, arriving to the appointment 15 minutes late, or completely no-showing the appointment will result in a fee and a rescheduling. The undersigned understands that the fee starts at $30, but will vary based on the amount of time that was scheduled to safely and adequately complete the service.

You understand that the fee must be paid before a rescheduled appointment will be made.


 

Date: April 29, 2025

Puppy in my Pocket Dog Grooming / 587-351-5047 / 34 High Street SE, Calgary AB T2Z 3T8











Dog's information
You understand that Puppy In My Pocket is not licensed as a daycare/kenneling facility and will require you to pick up your dog within ONE HOUR of being notified that your dog's groom has been completed. *
Yes, I understand.
You understand that Puppy In My Pocket will not groom your dog if they are pregnant, nursing, or in heat. There are zero exceptions to this policy. *
Yes, I understand.
You understand that Puppy In My Pocket does NOT offer the expression of anal glands within their salon. *
Yes, I understand.
Is your dog up to date with annual vaccinations? (Although not required, vaccines are always recommended) *
DAPv/DAPP (Distemper, Adenovirus, Parvovirus, Parainfluenza)
Rabies
Bordetella (Kennel Cough)
All of the above
None of the above
Is your dog been treated for fleas, ticks, or lice? [While it is not a requirement, if Puppy In My Pocket were to find any of the following on your dog during an appointment, your dog will be immediately sent home and the appointment will be rescheduled for a later date.] Select all that apply *
Fleas
Ticks
Lice
All of the above
None of the above
Do you give us permission to pluck your dog's ears when/if necessary? Please note; Puppy In My Pocket will not clean and/or pluck ears if they are showing potential signs of irritation, inflammation, or discharge of any kind. *
Yes
No
I require a phone call prior to plucking my dog's ears.

Dog's name *

Breed *

Age *

Gender *

Veterinary Clinic *
Is your dog neutered/spayed?*
Yes
No

Important information you'd like us to know about your dog's health and wellbeing. Is your dog aggressive or fear reactive, or have any medical conditions such as allergies, luxating patellas, collapsing trachea, deaf and/or blind, etc? *
First Client/Owner's Name

First Name*

Last Name*

Phone*
First Client/Owner's Signature*
Second Client/Owner's Name

First Name*

Last Name*
Second Client/Owner's Date of Birth*
Third Client/Owner's Name

First Name*

Last Name*
Third Client/Owner's Date of Birth*
Fourth Client/Owner's Name

First Name*

Last Name*
Fourth Client/Owner's Date of Birth*
Fifth Client/Owner's Name

First Name*

Last Name*
Fifth Client/Owner's Date of Birth*
Sixth Client/Owner's Name

First Name*

Last Name*
Sixth Client/Owner's Date of Birth*
Seventh Client/Owner's Name

First Name*

Last Name*
Seventh Client/Owner's Date of Birth*
Eighth Client/Owner's Name

First Name*

Last Name*
Eighth Client/Owner's Date of Birth*
Ninth Client/Owner's Name

First Name*

Last Name*
Ninth Client/Owner's Date of Birth*
Tenth Client/Owner's Name

First Name*

Last Name*
Tenth Client/Owner's Date of Birth*
Emergency Contact

First Name*

Last Name*

Emergency Contact's Phone Number*
Client/Owner's Address
Address Line 1:*
Street address, P.O. box, company name, c/o
Address Line 2:
Apartment, suite, unit, building, floor, etc.
Country:*
City:*
State/Province:*
Zip/Postal:*
Parent or Guardian's Email Address

Email
Your signed waiver will be sent to the email address provided here and is available for download for three days via URL attachment.
I understand that in order to remain a client of Puppy In My Pocket, I must respect all policies and procedures stated on this waiver. Failure to do so could result in the termination of my client status indefinitely. By checking this box, the undersigned agrees that they have read and understood all terms and conditions. *
Yes, I understand.
Parent(s) or Court-Appointed Legal Guardian(s) must sign for any participating minor (those under 18 years of age) and agree that they and the minor are subject to all the terms of this document, as set forth above.


By signing below the Parent or Court-Appointed Legal Guardian agrees that they are also subject to all the terms of this document, as set forth above.
Parent or Guardian's Name

First Name*

Last Name*

Phone*
Parent or Guardian's Age Acknowledgment*
Parent or Guardian's Date of Birth*
I certify that I am 18 years of age or older
Parent or Guardian's Signature*
First Client/Owner's Age Acknowledgment*
First Client/Owner's Date of Birth*
I certify that I am 18 years of age or older


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