BackgroundHuman Companion* First Last Email* Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone*Has your cat ever been professionally groomed?*Has your cat ever been groomed at the Happy Cat Spa?*YesNoHas your cat ever stayed at the Happy Cat Hotel?*YesNoCat Name*If you have multiple cats, please fill out a separate health evaluation for each cat. First Cat Profile* Sex Age Weight Breed*Please share the breed type of your cat if you know it (ie: Persian, Ragdoll, Domestic Short Hair, Maine Coon, etc...) Coat Type*ShortMediumLongCoat Color/Pattern (Tabby, Calico, solid black, Tortie etc...)Background & Environment Declawed Has Claws Indoor Only Indoor/Outdoor Friendly Not Friendly Skin and Coat ConditionCuts, scrapes, lesions, rashes or irritations? Balding, matted, greasy, dense undercoat, etc? Ticks, fleas, skunk spray? NOTE: We cannot groom a cat that is a carrier of ringworm.Health Condition*Please share any health conditions or diseases that affect your cat (Hyperthyroidism, Diabetes, Hypertropic Cardiomyopathy, Feline Hyperesthesia, etc...)Upload VaccinationsIf you have scanned or PDF documentation showing current vaccination results, you can attach those files here. You may also bring them in when you visit. Maximum file size is 5MB. NOTE: If your cat is currently staying at the Happy Cat Hotel and you have already provided your vaccination records, you do not need to provide them again.Areas of Concern* Shedding Sharp Nails/Scratching Sanitary Issues Mats/Tangles Skin Conditions Fleas Veterinarian Name, Address, and Phone Number*Release of Liability*By typing my full name and date in the field below, I hereby testify that all of the consents, waivers, releases, and authorizations within have been determined by me and serve as true and accurate statements by me. Even the gentlest of grooming can cause stress to an animal. While necessary to the animal’s continued good health, it is an interaction outside the purview of its natural environment. It is always the intention of the The Happy Cat Hotel to cease and desist upon the first indications of stress related reactions. There are many techniques and approaches that Happy Cat Hotel Groomers are trained to implement for the purpose of limiting stress, but no approach is foolproof. While every cat is observed throughout the grooming process, there is no guarantee that a cat will not have a stress related event. The Happy Cat Hotel reserves the right to decline service to any cat for any reason. Thus, I hereby agree to the foregoing as owner of the pet: 1. Dematting/detangling of matted hair may cause patchiness and hair loss. Consent to remove the matted hair is on this understanding. Shaving your cat will dramatically change the pet’s appearance, and the hair will be very close to the skin. This may expose pre-existing skin conditions for which The Happy Cat Hotel shall not be held liable. Removal of mats whether by lion cut (main body shave) or dematting procedure can be stressful to your pet and may exacerbate stress-sensitive health problems. Matting and/or pelting will result in additional charges (T & M) upon consultation, based upon the severity of the problem and the time required to correct it. I hereby agree to a lion cut and all applicable charges should Happy Cat Hotel's Executive Groomer deem this necessary for the health, safety, comfort, and humane treatment of my cat. Fecal removal, aggressive cats, and flea baths will all be performed as T & M services. 2. Certain illnesses and conditions including (but not limited to) diabetes, heart murmur, hypertrophic cardiomyopathy, seizures, and being overweight result in a higher risk of incident during grooming and I hereby agree to sign an "At Risk Pet Form" should Happy Cat Hotel's Executive Groomer deem my cat be of higher than average risk for grooming. 3. Previously discussed grooming standards (i.e. Lion Cut, Comb Cut, Etc) may not be completed due to my cat’s age, health condition and/or temperament. This decision is in the cat’s best interest to prevent harm from coming to them. The client may be responsible for payment of any services that are completed in lieu of or in addition to the previously discussed styles. 4. In the event of any injury or health concern, we are authorized to contact a vet and authorize any veterinary treatment for the cat as necessary. The owner is responsible for all veterinary charges that may incur as a result. The Happy Cat Hotel will attempt to contact you in the event of an emergency via the contact number listed below. Cats at a higher risk of injury or health problems than the average pet tend to be cats that are: Matted/pelted; Elderly; With health concerns. Any grooming that takes place on an elderly cat or cat with matting and/or health problems will performed at the owner’s risk. Elderly cats are at a higher risk for nicks and cuts from shaving. Grooming may expose pre-existing health and/or skin problems for which The Happy Cat Hotel cannot be held liable. NameThis field is for validation purposes and should be left unchanged.