Pet Owners Information

City Amesbury Andover Atkinson Barrington Boxford Bradford Chelmsford Derry Dracut East Hampstead East Kingston Epping Georgetown Groveland Hampton Haverhill Kingston Lawrence Lowell Medford Merrimack Methuen Newton North Andover North Chelmsford North Reading Northwood Peabody Plaistow Raymond Rowley Salem Salisbury Sandown Seabrook Somerville Stoneham Tewksbury Westford Wilmington Windham Woburn West Newbury Other

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State Massachusetts New Hampshire Conneticut Rhode Island Vermont Other

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Special Instructions

I herby grant Paw Zazz Pet Grooming Salon permission to obtain emergency medical attention for my pet at my expense. I am aware that matted pets have agreater chance of injury during grooming and Iwill not hold Paw Zazz Pet Grooming Salon responsible for injury to my pet.

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Weight 0 to 5 lbs. 5 to 10 lbs 10 to 15 lbs. 15 to 20 lbs. 20 to 25 lbs. 25 to 30 lbs. 30 to 40 lbs. 50 to 75 lbs. over 75 lbs.

Gender Male Female

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Pet Dog Cat