Client Contact Information

Client Name
Address

Emergency Contact Information

Emergency Contact Name
Do the have a key?

Vet Information

Vet's Address

Pet Information

Sex
Neutered/Spayed
Fully Vaccinated
Up to date with flea and tick treatments?
Is your pet insured?
Tag on collar?
Crate used?
Microchipped?
Treats allowed?
Allergies/Intolerances?
Is medication required?
If yes, please fill out medication form.
Medical Conditions?
Is your dog allowed off lead?
If yes, please sign off lead waiver.

Pet Information Continued

Has your pet ever shown signs of aggression towards a person or another animal?

Dog Sitting Only

Skip if not relevant.
Does your dog require a muzzle?
Does your dog have good recall?
How does your dog respond to the following:
Cats
Dogs
Birds
Squirrels
Please indicate where the following are kept:
Towel
Lead/Collar
Toys
Please indicate where the following are kept:
Treats
Brushes
Cleaning Supplies

Pet Sitting Details

MM slash DD slash YYYY
MM slash DD slash YYYY
How many visits per day?

House Information

Will you be providing a key?
Will there be anyone in your home?
Will house alarm be on?
Restricted areas of the house?

Client Consent

Client Name
MM slash DD slash YYYY