Florida, United States

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Waiver

Please read and sign this document before proceeding with the treatment. I acknowledge and agree that PAWSOME SMILE is not liable for any event or circumstance that is beyond its control and may occur during or after the anesthesia-free dental cleaning procedure for pets. I understand that PAWSOME SMILE will take all necessary precautions to ensure the safety and well-being of my pet during the procedure. However, I acknowledge that there are inherent risks associated with any medical or dental procedure. Therefore, I release PAWSOME SMILE, as well as its employees and affiliates, from any claim, damage, loss, or injury that may result from external factors unrelated to the procedure itself.



Pet Owner Full Name

Email Address

Phone Number

Number of pets

Does your pet have any health issues or concerns that the technician should know about (heart, kidney, convulsive disorders, recent surgeries, allergies etc.)

Is your pet current with their Rabies vaccinations?

Do you authorize the use of any photographs or videos taken during the cleaning for promotional purposes?

Would you like us to post and tag your pet on Instagram?

How did you hear about us?

Signature