Step 1 of 4 25% Grooming Duty of carePreferred Branch*WitneySwindonMelkshamBurgess HillSpaldingClient name* First Last Client address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Breed* Colour* Dog's Name* Date of birth* MM slash DD slash YYYY Estimated year is acceptableHome PhoneWork PhoneMobile Phone*Email address* Emergency contact detailsVeterinary surgeon Veterinary Phone* Is there an area of the body that your dog dislikes being groomed?* Does your dog require to be muzzled for any part of their stay in our premises?* Has your dog bitten anyone in the past?* Please detail any warts or lumps your dog hasUse X for warts and O for lumps, using the following pattern: RT shoulder X LT thigh O See dog diagram Please state any medical conditions or special needs. e.g epilepsy, arthritis* Do you agree to inform us of any new problems or needs your dog has, upon each visit?* Yes No Will you give us permission to obtain veterinary help in an emergency? (Unless it can be clearly shown that we are liable, all costs in the connection and in the carrying out of the vet’s instruction shall be at the owner’s expense.)* Yes No We trim all dogs as closely to the breed standard styles as possible. Do you accept that if you ask us to trim differently against our advice, we cannot be held responsible if you are unhappy with the results?* Yes No Would you be happy for us to use pictures we have taken of your dog’s groom on our social media and website?* Yes No Consent* I agree to the terms and conditionsWoozelbears Grooming Terms and Conditions 1. We will do our utmost to care for your pet whilst it is in our care. Our equipment is technically advanced and we always use dog specific products. We can not be held responsible for skin reactions to our products. 2. Woozelbears reserve the right to refuse to groom aggressive or difficult dogs with behavioural problems. The dog owner must agree to inform us if their dog is known to be aggressive or has ever bitten anyone. The owner understands that they will be legally liable for the consequences of all bites caused by their dog. 3. We will examine your dog for any lumps or bumps during the grooming session. If anything untoward is discovered we will notify you but it will then be necessary for you to consult your vet. 4. At all times we have full Public liability Insurance. 5. If matted fur needs to be clipped please be aware that skin irritation may occur from shaving and occasionally small nicks may occur due to the proximity of matted fur to the skin. Woozelbears shall not be held liable for any post-grooming effects of de-matting coats, or any problems uncovered on a badly matted and neglected coat. The owner agrees to pay all costs for the dog grooming (including de-matting) even if the groomer is unable to complete the task. 6. Woozelbears reserves the right to refuse to groom any dog with fleas. If fleas are found on the dog during the grooming appointment then a charge of £20 will be added to cover the cost of fumigating the premises and disinfecting the equipment. 7. Missed appointments will be charged in full unless cancelled 24hours or more before the scheduled appointment. 8. Woozelbears require each dog to be fully vaccinated in order to be groomed in our centre unless a valid reason can be provided 9. It is the owner’s responsibility to poop scoop after their dogs whilst on our premises. 10. Woozelbears cannot be held responsible for any loss or injury to any person or animal, howsoever caused, whilst on our premises. 11. Woozelbears cannot be held responsible for any loss or damage to vehicles or personal property, howsoever caused, whilst on our premises. 12. Prices are estimated on a breed average and dogs that require extensive work will be charged accordingly. 13. Your dog must have a collar and up to date tag for us to legally take them out of our premises for toilet breaks. 14. If your dog is matted and is unable to be brushed out or where brushing is causing discomfort to your dog we have an obligation by the Animal Welfare Act (2006) to clip off the matts for their care and well-being. This can result in a complete clip off. I confirm that I give Woozelbears permission for my dogs coat to be clipped short and accept that on this occasion any personal preference of how I would like my dog styled will not be achievable. Please sign if you accept all the above and have read, agreed and understood*Date* MM slash DD slash YYYY Offers and newsHere at Woozelbears we take your privacy seriously and will only use your personal information to provide the products and services you have requested from us. However, from time to time we would like to contact you with details of offers/services/competitions we provide. We may also share your data with selected third parties related to the services we provide. For full details see our Privacy Policy. If you consent to us contacting you for this purpose please tick to say how you would like us to contact you: Email Postal Telephone call Text message