PET SITTING APPLICATION

Pet Name: ____________________ Gender: ______________ Birthday/Adoption: ____________ Weight: ________

Breed: _____________________________  Type_____________

Color/Markings: _________________________

Owner Name: ________________________________________

Address: _______________________________________________________   Unit/Apt: ______________________

City, State, ZIP: ______________________________________________________________________

Daytime Phone: __________________________________ Alternate Phone:________________________________

Contract Only Registration? Y    N

Emergency Contact:

Name: ____________________________________________________ Relationship: ________________________

Phone Number(s): ______________________________________________________________________________

In an emergency (illness, lost keys, etc.) how should we handle the situation if you can’t be reached?

_____________________________________________________________________________________________

Veterinary Information:

Primary Clinic: ____________________________________ Doctor: __________________________________

Address: _____________________________________ City, State, ZIP: _______________________________

Phone Number: ________________________________ Are your pet’s vaccinations up do date? q Yes  q No

Walking Schedule:  What is your dog’s regular walking schedule (number of times a day, after meals, etc.):

__________________________________________________________________________________________________

Is there a particular route you would like us to take?_________________________________________________________

If there is yard, can the dog be unsupervised in it? q Yes  q No    

 Are there any areas of the home off limits?  Which areas:

_________________________________________________________________________________________________

Special Instructions: 

You will find my pet (in the yard, in a crate, etc.):___________________________________

Please return my pet to (a particular area of the house, a crate, etc.)___________________________________________

Location of collar & leash: ___________________________ Location of food & treats:_____________________________

Limit treats to ________times/day.                Can pet have people food? q Yes  q No  

Location of any medications: _____________________________________________________

Medication instructions (names & dosage):_______________________________________________________________

I will provide Wags & Walks with 2 keys to my home:           q Yes  q No

My home is equipped with a security system that disarms with the following code or keystrokes: __________________________________________________________________________________________________

Other Important Information:

Does your pet have any medical conditions we should know about (allergies, hip dysplasia, etc.)? _______________

_____________________________________________________________________________________________

Is there anything specific that we should know before we enter your home? _________________________________

_____________________________________________________________________________________________

Does your pet show aggressive behavior when someone approaches? ____________________________________

_____________________________________________________________________________________________

Is your dog leash aggressive?     Dog/Dog: q Yes  q No     Dog/Person: q Yes  q No

Does your pet have a gender issue?     Towards men: q Yes  q No          Towards women: q Yes  q No

Other Instructions:

Does your building have a specific entrance for pets?  q Yes  q No   ______________________________________________

Set up gates/close doors: __________________________Take out garbage? q Yes  q No / Location:____________________

Water plants?  q Yes  q No  _______________________  Bring in mail?  q Yes  q No Location:_______________________

Is there parking available?_________________________________________________________________________________

Other: ________________________________________________________________________________________________

Client Agreement and Release of Liability

I hereby release Wags & Walks., its agents, officers, sub-contractors, employees, animal owners, customers, and potential customers of Wags & Walks from any and all liabilities, financial, and otherwise, for injuries to myself, my dog, or any other property of mine, which arise in any way from services and/or products provided by or as a consequence of my association with Wags & Walks.

I agree to assume all liabilities and responsibilities, financial and otherwise, for the behavior and health of my pet. In consideration of the services rendered by Wags & Walks., I waive any and all claims, actions, or demands of any nature, foreseen or unforeseen, that I may have against Wags & Walks relating to the care, control, health, and/or safety of my dog arising during walking time.

I authorize Wags & Walks. to do whatever they deem necessary for the safety, health, and well-being of my pet while under the care of Wags & Walks, including seeking professional veterinary treatment for my pet.

I understand that Wags & Walks has the right to refuse service to me and/or my pet  at any time for any reason. I understand that if my dog has a history of or repeatedly demonstrates aggression or biting of humans or animals, Wags & Walks reserves the right to refuse service. I understand that all bites will be reported to the local authorities as required by law.

I hereby declare to Wags & Walks that I am the legal owner of my pet; that my pet has not been exposed to distemper, rabies, or parvovirus within the past thirty (30) days, that my dog has been inoculated as indicated by records presented.

Payment Requirements

I understand that the hours of operation at Wags & Walks Inc. are 9 a.m.-6 p.m. Monday-Friday and 10 a.m.-4 p.m. Saturday. Sunday closed.

I understand that I will be charged a $25 handling fee for returned checks.