DOG GROOMING RELEASE FORM Admitted By
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Dog Groomer
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Discharged By
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Start Time
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Finish Time
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Type of clip
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Skin Condition
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Ears
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Teeth
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Nails
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Anal Glands
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Fleas
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Next apt.
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I have examined .............. on collection and I am / am not entirely satisfied with the end result. I have been advised to have ............ clipped again on .............. My comments regarding the clip as are follows: ......................................................................................................................................................... ......................................................................................................................................................... .................................................................
Signed by Owner:................................... or Agent: .......................................