Grooming Form Client Name* First Last Today's Date* Date Format: MM slash DD slash YYYY Pet's Name*Email* Phone*Grooming InstructionsHead/Face:Body:Legs:Tail:Additional Comments:We want all of our patients to have a good experience here at Gillespie Veterinary Center. Should sedation be needed to complete the grooming process, I authorize the doctor and/or staff at Gillespie Veterinary Center to sedate my pet at my expense. I will provide a phone number to discuss sedation if necessary. If no one can be contacted to authorize the procedure, the grooming will not be continued. The owner will only be charged for the amount of the grooming done. Sedation Prices: Less than 10lbs - $25 11 to 40lbs - $35 Greater than 41lbs - $45Signature (please type name)CommentsThis field is for validation purposes and should be left unchanged. This iframe contains the logic required to handle Ajax powered Gravity Forms.