Dog Sitting /Client Agreement

Client Contact Information

Client Name:__________________________________________________________________

Address:______________________________________________________________________

Daytime Phone:______________________

Evening Phone:_______________________

Mobile Phone:_______________________

Work Phone:_________________________

E-mail Address(s):______________________________________________________________

Home Security Information

Do you have a security alarm? ____Y ____N

Alarm Directions/Code:________________

Does anyone have a key to your home? ____Y ____N

Name & Number:______________________________________________________________

Is anyone expected at your home during your absence? ____Y ____N

Who?______________________________

When/Why?__________________________

Home Maintenance

Location of Main Water Valve:_____________________________________________________

Location of Electrical Panel Box:___________________________________________________

Emergency Contact Information

Name:_____________________________

Relationship:_________________________

Daytime Phone:______________________

Evening Phone:_______________________

Mobile Phone:_______________________

E-mail Address:_______________________

No-Fee Additional Services

Which of the following no-fee services would you like provided to you? Please check all that apply.

____Open/Close Blinds/Curtain ____Bring in Newspaper & Mail

____Lights On/Off

____Raise/Lower A-C or Heat ____Put out/Bring in Garbage Can ____Water Indoor Plants

Name_______________________________________________

Spouse/Partner _______________________________________________

Address _______________________________________________________

Apt _______________________________________________

City _______________________________________________

State __________________________________

Zip ________________________

Home Phone _________________________________

Pager Number ___________________________________

Work Phone _____________________________________-

Work Phone2 _____________________________________

Cell Phone _________________________________________

Cell Phone2 ________________________________________

Email ____________________________________________

Vet’s Name ___________________________________________

Vet’s Phone _________________________________________

Okay to take pet(s) to vet in the event of an emergency? Y / N _____

Okay for pet(s) to be admitted in case of an emergency? Y / N ______

Emergency Contact ________________________________________________

Home Phone ____________________________________________

Work Phone ____________________________________________

Vacation Emergency #”s ______________________________________________

How did you hear about Pet Care Plus, Ltd? _______________________________________

Personal Referral name: ___________________________________________________

Which door will we use to enter your home? _________________________________________

Any difficulties? _____________________________________________

Do you have an alarm system? _______________________________________________

Alarm pad location? ___________________________________________

Code/Instructions _________________________________________

Disarm ____________

Arm _______________

Contractors/housekeepers/visitors? ____________________________

Where are your cleaning supplies kept? ___________________________________

Mail?

Y / N

Where would you like it stacked?

Papers?

Y / N

Where would you like them placed?

Water plants ?

Y / N

Locations?

Lights on/off ?

Y / N

Locations?

Is there anything else we should know so that we can best care for your home? ____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Pet #1 ___________________________________________

Name ____________________________________________

Breed _____________________________________________

Date of birth/age ___________________________________

Sex M / F ____

Spayed/Neutered Y / N____

Markings ______________________________________________

Color _________________________________________

Are Vaccinations up to date? Y /N_________

Health issues? __________________________________________________________

Where does he/she stay during the day? ________________________________________

Where does he/she sleep at night? ______________________________________________

What type of exercise is required? Walk? __________________________________________

Backyard Play? ________________________________________________________________

Both? ______________________________________________________________________

Inside Play? _________________________________________________________________

None? _____________________________________________________________________

Where do you store the food? __________________________________________________

Where does the pet eat? ________________________________________________________

Where do you store leashes/supplies? _______________________________________________

Is your pet afraid of anything? _____________________________________________________

Time __________________________

Brand ____________________________

Amount ________________________________

Any medications? Y/N ______

When? ______________________

Are treats OK? Y / N _________

Can we give our treats? Y/N _________

Pet #2 ___________________________________________

Name ____________________________________________

Breed _____________________________________________

Date of birth/age ___________________________________

Sex M / F ____

Spayed/Neutered Y / N____

Markings ______________________________________________

Color _________________________________________

Are Vaccinations up to date? Y /N_________

Health issues? __________________________________________________________

Where does he/she stay during the day? ________________________________________

Where does he/she sleep at night? ______________________________________________

What type of exercise is required? Walk? __________________________________________

Backyard Play? ________________________________________________________________

Both? ______________________________________________________________________

Inside Play? _________________________________________________________________

None? _____________________________________________________________________

Where do you store the food? __________________________________________________

Where does the pet eat? ________________________________________________________

Where do you store leashes/supplies? _______________________________________________

Is your pet afraid of anything? _____________________________________________________

Time __________________________

Brand ____________________________

Amount ________________________________

Any medications? Y/N ______

When? ______________________

Are treats OK? Y / N _________

Can we give our treats? Y/N _________

Pet #3 ___________________________________________

Name ____________________________________________

Breed _____________________________________________

Date of birth/age ___________________________________

Sex M / F ____

Spayed/Neutered Y / N____

Markings ______________________________________________

Color _________________________________________

Are Vaccinations up to date? Y /N_________

Health issues? __________________________________________________________

Where does he/she stay during the day? ________________________________________

Where does he/she sleep at night? ______________________________________________

What type of exercise is required? Walk? __________________________________________

Backyard Play? ________________________________________________________________

Both? ______________________________________________________________________

Inside Play? _________________________________________________________________

None? _____________________________________________________________________

Where do you store the food? __________________________________________________

Where does the pet eat? ________________________________________________________

Where do you store leashes/supplies? _______________________________________________

Is your pet afraid of anything? _____________________________________________________

Time __________________________

Brand ____________________________

Amount ________________________________

Any medications? Y/N ______

When? ______________________

Are treats OK? Y / N _________

Can we give our treats? Y/N _________

Pet #4 ___________________________________________

Name ____________________________________________

Breed _____________________________________________

Date of birth/age ___________________________________

Sex M / F ____

Spayed/Neutered Y / N____

Markings ______________________________________________

Color _________________________________________

Are Vaccinations up to date? Y /N_________

Health issues? __________________________________________________________

Where does he/she stay during the day? ________________________________________

Where does he/she sleep at night? ______________________________________________

What type of exercise is required? Walk? __________________________________________

Backyard Play? ________________________________________________________________

Both? ______________________________________________________________________

Inside Play? _________________________________________________________________

None? _____________________________________________________________________

Where do you store the food? __________________________________________________

Where does the pet eat? ________________________________________________________

Where do you store leashes/supplies? _______________________________________________

Is your pet afraid of anything? _____________________________________________________

Time __________________________

Brand ____________________________

Amount ________________________________

Any medications? Y/N ______

When? ______________________

Are treats OK? Y / N _________

Can we give our treats? Y/N _________

Please use this space to list anything else unique to your pet(s) that you think will help us provide the best care for them.

________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Required Releases

Veterinarian Release

Veterinarian name, location/address & number:________________________________________

__________________________________________________________________________________________

________________________________________________________________

Dear Veterinarian,

In my absence, Barking Buddies Dog Walking Service will be caring for my pet(s) and have been instructed to

transport my pet(s) to your office to be seen for emergency treatment. I authorize you to treat my pet(s) and I

will be responsible for payment of their treatment when I return.

____________________________________

Client Signature

Date

Locksmith Release

Dear Locksmith,

In my absence, Barking Buddies Dog Walking Service will be caring for my pet(s) inside my home. It is

imperative that Barking Buddies Dog Walking Service are able to enter my home. I authorize you to provide any services related to key or lock malfunctions on my property. I will be responsible for payment of all such

services to you when I return.

____________________________________

Client Signature Date

Pet Guardianship

Should anything happen to me that prevents my return home, and I cannot otherwise communicate my wishes while my pet(s) are in the care of Barking Buddies Dog Walking Service, I authorize that my pet(s) be turned over to:

Name:_________________________________

Relationship:_________________________

Daytime Phone:__________________________

Evening Phone:_______________________

Mobile Phone:___________________________

E-mail Address:_______________________

Address:______________________________________________________________________

____________________________________

Client Signature Date

Keys

I hereby certify that I am providing one (1) key to my home to Barking Buddies Dog Walking Service . I release Barking Buddies Dog Walking Service to enter my home for pet care services whenever I make a request in writing (or Email), by telephone or in person. I am aware and agree that my key will be kept on a key ring, and that no directly identifying information will be associated with my key. I understand that Barking Buddies Dog Walking Service will exercise reasonable care and caution to safeguard my key, and I release them from further liability with regard to the safeguarding of my key.

____________________________________