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You will be asked to consent to the following authorization statement when you drop your pet off. Please read.

I, the undersigned, do hereby certify that I am the owner (or duly authorized agent for the owner) of the animal noted. I hereby give Dr. Deji Odetoyinbo, his agents and representatives of Bathurst Animal Clinic permission to groom the animal:

I understand that every precaution is taken to keep the animal safe and healthy at all times during their stay at Bathurst Animal Hospital. However, in the event of illness, injury, or escape, I hereby release Bathurst Animal Clinic from and against all liability directly or indirectly arising from the grooming of the animal.

I also understand that, if any unforeseen conditions arise during my pet’s stay, may require immediate treatment/intervention. I understand that reasonable efforts will be made to contact me to explain these procedures and treatments and obtain my instructions regarding them. However, if efforts are unsuccessful, I authorize the performance of any and all procedures or treatments which are necessary in the professional opinion of Dr. Odetoyinbo and the staff at Bathurst Animal Hospital. I also understand that I will be responsible for any fees and charges associated with these procedures and treatments, which must be paid in full at the time that my pet is discharged from Bathurst Animal Hospital.

A fecal sample must be tested and yield negative results within 6 months prior to my pet being admitted for grooming. If a fecal sample has not been submitted and tested within the last 6 months, one will be collected and tested during the animal’s stay with us.

I understand that I will be responsible for the associated charges of fecal testing, and parasite treatment (if required). I understand that if a fecal sample is not submitted/collected the day of my pet’s appointment, I will pre-pay for the sample testing at the time of my pet’s discharge (and submit said sample within 7 days)
______ (initial)

I understand that if my pet has fleas, ticks or other parasites during their stay, they will be treated accordingly and I will be billed for the required treatment ______ (initial)

I understand that medications that need to be administered are subject to a daily administration fee in addition to the cost of the medication ______ (initial)

I understand that if my pet remains ‘unclaimed’ 10 days beyond the agreed-upon discharge, they may be regarded as abandoned. In this event, the clinic will make reasonably exhaustive attempts to contact me or any emergency contact I may have identified on this form. If these attempts remain unsuccessful, the clinic reserves the right to transfer the ownership of my pet to an animal shelter or to a third party ______ (initial)

I have read and agreed to the above terms and policies. I understand that I may have a written estimate for fees and charges of my pet’s grooming if I do so request.