YOUR LOGO YOUR CONTACT INFO
CLIENT INFORMATION
Name: ______________________________________________________________
Address: _______________________________ City; Zip:____________________
Phones: Home: ____________________________ /__________________________
Name: __________________ Work: _________________ Cell: _______________
Name: __________________ Work: _________________ Cell: _______________
Name–email: _________________________________________________________
Name–email: ________________________________________________________
Emergency Contact: ________________________________________________
Emergency Contact: ________________________________________________
Location of Extra Key: _________________________________________________
Alarm deactivation Code: _______________________________________________
Alarm activation Code: _________________________________________________
Alarm company Name: _________________________________________________
Alarm company Phone: ________________________________________________
Additional Information: _________________________________________________
_____________________________________________________________________
_____________________________________________________________________
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YOUR LOGO YOUR CONTACT INFO
DOG INFORMATION
Please complete for each pet
Client’s Name: _______________________________________
Dog’s Name: ____________ Breed: ______ Gender M F Neutered / Spayed Y N
Age: ______ Dog Rabies Tag #: ____________Expiration Date: _______________
Micro-chipped: Y N Chip #: _________ Registry Co / Phone #:________________
FEEDING INSTRUCTIONS: ______________________________________________
____________________________________________________________________
Medication Information: ________________________________________________
Favorite Games / Toys: ________________________________________________
Hiding Places: ________________________________________________________
When you walk your dog what does s/he do when s/he sees another dog:
□ Ignores the other dog
□ Shows some interest but keeps on walking
□ Wags tails and wants to play
□ Growls and becomes aggressive
□ Pulls hard on the leash to try to get to other dog
When you walk your dog what does s/he do when s/he sees a cat:
□ Ignores the cat
□ Shows some interest but keeps on walking
□ Wags tails and wants to play
□ Growls and becomes aggressive
□ Pulls hard on the leash to try to get to cat
Commands your dog knows (i.e. heel, sit, etc) _____________________________
Does your dog come when called? Y N
Where do you dispose of your dog’s waste? ________________________________
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YOUR LOGO YOUR CONTACT INFO
CAT INFORMATION
Please complete for each pet
Client’s Name: _______________________________________
Cat’s Name: ________ Breed: ______ Gender M F Neutered / Spayed YES / NO
Age: ______ Cat Rabies Tag #: __________________Expiration Date: _________
Micro-chipped: YES / NO Chip #: ________ Registry Co / Phone #:____________
FEEDING INSTRUCTIONS: ______________________________________________
_____________________________________________________________________
Medication Information: ________________________________________________
Favorite Games / Toys: ________________________________________________
Hiding Places: ________________________________________________________
Does your cat try to escape? YES / NO
Will your cat not eat when stressed? YES / NO
Is your cat prone to hairballs? YES / NO
Is your cat skittish with strangers? YES / NO
Does your cat use the litter box reliably? YES / NO
Is your cat fearful of loud noises? YES / NO
Does your cat like to be petted? YES / NO
Does your cat like to be held? YES / NO
Has your cat ever bitten anyone? YES / NO
Where do you dispose of your cat’s waste? ________________________________
Special Instructions: ___________________________________________________
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
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YOUR LOGO YOUR CONTACT INFO
VETERINARY RELEASE
Veterinarian Name: ___________________________________________________
Address: ____________________________________________________________
Phone #: ____________________________________________________________
To the Veterinarian – Hospital
<name of your company> has been contracted to pet sit for my pet(s) and has my permission to place them in your care in case of an emergency.<name of your company> will attempt to contact me as soon as medical care is deemed necessary. However, in the event I cannot be reached immediately, I authorize you to treat my pet(s) and will be responsible for payment of any fees as stated below. Please file this form with my records.
Pet Owner: __________________________________________________________
Address: ____________________________________________________________
Phone – email: _______________________________________________________
Pet(s): ______________________________________________________________
If above-named veterinarian is not available, I agree that another vet in his/her practice may care for my pets. If neither of these veterinarians are available, I give permission for <name of your company> to take my pet(s) to the nearest animal hospital or emergency clinic.
I give permission for <name of your company> to approve treatment up to $_______. (Initial ______)
I understand that <name of your company> assumes no responsibility for the loss of any pet and is released from all liability related to transportation, treatment and expense.
Other conditions, if any: ________________________________________________
____________________________________________________________________
My pet(s) has / have the following health issues: ____________________________
_____________________________________________________________________
This document for treatment has no expiration date unless otherwise noted
________________________________________________________________
Client Signature Date
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YOUR COMPANY NAME
Daily Notes & Checklist
Client's Name:_____________________ Day/Date:___________________
Arrival Time:_____________
Departure Time: ____________
Condition of Premises:_______________________
□ All is well & secure
□ Problems Noted:________________________________________________
S M T W T F S
Dog(s)
Walk - Exercise
TLC Time
Fresh Water
Give Treat
Food
Clean-Up
RX
Secure Pet
Cat(s)
Clean Litter Box
TLC Time
Fresh Water
Give Treat
Food
RX
Secure Pet
Misc
Newspaper
Mail
Water Plants
Bird Feeder
Security
Check House
Alternate Lights
TV/Radio
Burglar Alarm On
Lock Home
Notes about Dog(s): ________________________________________________
___________________________________________________________________
___________________________________________________________________
Notes about Cat(s): _________________________________________________
____________________________________________________________________
____________________________________________________________________
Thank you for your business.
Please call me immediately with any concerns
Service Provider: __________________________ YOUR PHONE 123-456-7890
