Pet Sitting Intake and Emergency Contact Form Template

Name

First NameLast Name

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Email

example@example.com

Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

While I am out of town, I prefer to be contacted by

What dates will you need me?

Pet 1: name, age, species, and breed

Pet 2: name, age, species, and breed

Pet 3: name, age, species, and breed

Pet 4: name, age, species, and breed

Pet 5: name, age, species, and breed

Does your dog have any medical problems (seizures, painful conditions, etc.)?

If yes, please list them and explain any accommodations or support I should provide them.

Is your pet on any medications that I will need to administer?

If yes, please provide the medication(s), dose, and when and how to administer

What is your pet's feeding schedule, and routine? (please include food type, quantity and any additional instructions)

Please list any food restriction or known allergies

Where does your pet sleep?

Where does your pet stay when you are not at home?

If your pet needs to be crated or confined, how do they react?

Please describe your pet's exercise needs

Does your pert have any of the following behavior concerns (check all that apply)

Other

Please describe in more detain the behaviors you selected above, and how you manage them

Any other behavioral quirks or concerns I should be aware of?

Describe a typical 24 hour day for your pet(s)?

Are there any other tasks you need me to do (ie. watering plants, putting out trash bins)

What should I do the event of an emergency requiring veterinary care? (see emergency policy below for more information)

What is the best phone number to reach you at, in case of an emergency?

Please enter a valid phone number.Format: (000) 000-0000.

What is the name of your primary Vet or Vet Clinic?

Primary Veterinarian's Address

Please enter a valid phone number.Format: (000) 000-0000.

Primary Veterinarian's Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Does your primary veterinarian have 24h emergency hours?

If No, please list the name, and number of closest 24-hour Emergency vet

Secondary Contact: In the event that you cannot be reached, Is there someone I can contact for additional support?

First NameLast Name

Secondary Contact Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Relationship to you

{Pet sitter's Name} will endeavor to create as safe an environment as possible for the care and training of my animal(s) and will offer only sound, safe, and responsible training and training instructions. However, I recognize that {Pet sitter's Name} is not responsible for any unintentional errors, omissions, or incorrect assertions. I understand that the recommendation of any other product or service is not a guarantee of my satisfaction with that product or service. Further, I am and will remain responsible for the actions of my animal(s) at all times and I hereby agree to indemnify and hold harmless {Pet sitter's Name} of any and all claims of injury, expense, costs, or damages caused by the actions of my animal(s) while under {Pet sitter's Name} care, instruction or control and under my own care as a result of following training instructions. I have been told by {Pet sitter's Name} and understand the inherent risks of owning an animal(s) , including but not limited to the risk of animal bites to myself or others. Emergency Care: In the event that I cannot be reached, {Pet sitter's Name} has my permission to react to a situation as she deems appropriate, and or necessary for the health and safety of my animal(s), herself, or others, and that I am responsible for compensating {Pet sitter's Name} for any monetary charges made for items and or services including but not limited to, vet bills, pet food, or human medical attention. Payment Policy: For new clients, a 25% deposit is due upon booking, the remainder of the payment for services is due 24 hours before the start of pet sitting. I except cash checks, or Venmo. Cancellation Policy: We appreciate cancellation notice as far in advance as possible. To avoid being charged, a 72-hour notice is required. Cancelations within the 72-hour window result in the loss of your 25% deposit. Exceptions will be addressed on a case by case basis. By checking the box below, I agree to and accept the above policies.

Pet Sitting Intake and Emergency Contact Form Template

Owner Information

Pet Information

Care Needs

Emergency Contacts and Vet Information

Policies Acknowledgments