Pet Information


Name of pet:_________________________________________________________________ Breed:_____________________________________________

Age:____________________Male ________Female_______

How did you hear about Scruffy Pups?______________________________________________________________________________________________________________

________________________________________________________________________________________________________________________________________________________

Any known problems with grooming? (i.e. Biting, sensitive feet, etc.)___________________ ______________________________________________________________________

Any health concerns we should be aware of? (i.e. seizures, hearing, hot spots, moles, etc.)

Email address____________________________________________________________

Owners Name:____________________________________________________________

Address:______________________________________________Zip:_______________

Phone:_______________________________________

Veterinary Clinic:__________________________________________________________

Policy Release Form

Our Policies: Scruffy Pups LLC’s philosophy is to offer a stress-free grooming experience for your pet. We pay special attention to older pets and those with health issues. Your pets safety and comfort is our top priority. The pet owner must inform us of any medical, physical, or emotional issues including, but not limited to allergies, sensitivities, pre-existing conditions, such as prior surgeries, hip or joint issues, warts, moles, ear infections, skin problems etc.

  • Scruffy Pups LLC will not perform any grooming procedure that causes pain or a level of stress that we think is excessive. This includes nail trimming if we feel the pet is becoming too stressed.


Behavioral Issues: Please let us know both the good and bad behaviors of your pet.

  • We reserve the right to refuse or stop service due to behavioral issues.

  • We reserve the right to muzzle your pet for our protection if we feel it’s necessary.

Fleas: In order to prevent contamination of our saloon, if we find your pet has fleas, we will treat them Dawn dish soap. No other flea treatment will be used so as not to interfere with possible veterinary treatments.

Pricing: Pricing varies for each pet and is determined by breed, size, coat condition, and the temperament of your pet during grooming. Additional charges apply for de-shedding treatment, de-matting, flea treatments, and specialty treatments due to the additional time it involves.

Shave Down Waiver: Scruffy Pups LLC reserves the right to refuse to de-matt a pet if it appears the pet cannot tolerate the dematting process or that it cannot be done humanely. Therefore, you give Scruffy Pups LLC authorization to shave your pet’s coat if deemed necessary for its own health and safety. De-matting and excessive undercoat removal will be charged at the rate of $10.00 per 15 minutes in addition to regular grooming charges. Please be aware that there can be a variety of skin/coat care problems that may occur after the shave down of a pet. These may include the following but are not limited to the loss of hair growth, itching, scratching, biting, licking, shaking, twitching, spinning, rubbing, redness of skin, etc.

Cancellations & No Call/No Shows: Scruffy Pups LLC requires a 24 hour notice to cancel appointments to fill the grooming slot and rearrange the schedule. Texting or leaving a message on voicemail is acceptable.

Appointment Drop Off/Pick Up: You agree to be ON TIME or up to 15 minutes early for your appointment. If you are over 10-15 minutes late, you understand that you may be required to rebook. We make every effort to make sure your pet is completed in 3 hours or less to cut out the stress of being in a cage for long periods. After we call to let you know your pet is ready, we ask that you please pick up your pet within 1 hour of being contacted. We are not licensed or staffed to look after your pet for long periods of time. Any pet that is left for more than an hour after the completion of its groom will be charged a fee of $10.00 every 30 minutes.

I affirm that I am the rightful legal owner or guardian of the pet for which services are rendered. I have read and accepted this policy for the groom today and for any and all future grooming appointments.



Pet Owners Signiture_______________________________________Date_________________



Scruffy Pups LLC

4585 Johnson St.

Coopersville MI

(616)443-7587