Your first name: | |
Last name: | |
| email address (required): | |
| Phone with area code: | |
| Cell phone with area code: | |
| Name of pet: | |
| Breed: | |
| Size of pet (in pounds): | |
| Age of pet: | |
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| Sex of pet: | Female Male |
| Is your pet neutered?: | No Yes |
| Is your pet a barker?: | No Yes |
| Is your pet friendly with other animals?: | No Yes |
| Does your pet shed?: | No Yes |
| Is your pet familiar with a leash?: | No Yes |
| Describe any commands your pet responds to: | |
| Describe any health or allergy issues: | |
| How is your pet exercised: | |
| Is your pet familiar with the outdoors? | |
| Will your pet wander?: | |
| Describe any medications or vitamins your pet requires: | |
| Describe the type of food, quantity and feeding times for your pet: | |
| Describe any treats (what, how often, when, why) you give your pet: | |
| Describe any nighttime rituals, sleeping situations, etc. that your pet is used to: | |
| Where and how can you be reached: | |
| What is the name and phone of your vet?: | |
| Who should I contact in an emergency if I cannot reach you?: | |
| Questions, comments, requests, including dates you intend to be gone: |
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Reminders: (Financial): Actual rate will be determined prior to service. 50% or more of total pet care service costs are due at the beginning of the service period.
(Client Responsibility): Pet owner supplies necessary supporting items such as food, leash, bed (if appropriate), treats, etc. Pick up and/or drop off of pet to occur between 8am and 8pm. Pet owner assumes financial responsibility for unexpected vet or other services deemed essential for the welfare of the pet(s).
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