Booking – coastalcanines

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You'll pay the business at the time of your appointment.

CUSTOMER INFORMATION

Mobile Phone *

Client Name *

Email Address *

Waiver & Cancellation Policy *

Animal owners agree to release Coastal Canines Teeth Inc. doing business as Coastal Canines Dental, its service employees, and employees and the owner, harmless from any and all claims. This includes the hosting teeth cleaning location and all of their employees and store owner(s). By electronically signing this waiver you are also giving us permission to use your pet's picture on our website, social media and in print, unless otherwise specified.

I have read and agree to these terms.

Draw Your Signature *

PET INFORMATION

Pet Type *

Gender *

Age *

Name *

Breed *

Weight *

Has your pet ever bitten?

Are shots up to date?

Has your pet been turned down for grooming before?

APPOINTMENT DETAILS

This is a non-refundable deposit that will be applied to the final cleaning cost.

If your pet does not settle for the cleaning, or if we determine that they are not eligible for our services, there will be no additional charges beyond the $40 deposit.