Wags to Whiskers Pet Sitting
| (413) 218-5488 (413) 949-0784 E-mail: wagstowhiskerspetsit@comcast.net www.wagstowhiskerspetsit.com |
Owner Information:
Name: ___________________________________________ Home Phone: ________________________________
Address: ___________________________________________________________________________________
Cell Phone: _________________________________ E-Mail: __________________________________________
How we can contact you while you are away: __________________________________________________________
Emergency Contact: ___________________________________________________________________________
Veterinarian Name, Address and phone#: ____________________________________________________________
_________________________________________________________________________________________
Pet(s) Information:
Breed: ___________________________ Name: ____________________________ Age: ________ Sex: ________
Breed: ___________________________ Name: ____________________________ Age: ________ Sex: ________
Breed: ___________________________ Name: ____________________________ Age: ________ Sex: ________
Please list all vaccinations and dates each was administered:
Pet: ____________________ Rabies: _________________ DA2PP: ___________________ FVR: _____________
Pet: ____________________ Rabies: _________________ DA2PP: ___________________ FVR: _____________
Pet: ____________________ Rabies: _________________ DA2PP: ___________________ FVR: _____________
Below please list any medications your pet(s) is currently taking:
Pet ______________________________________________________________________________________
Name of Medication ___________________________________________________________________________
Time(s) medication needs to be administered __________________________________________________________
Amount of medicine to administer __________________________________________________________________
Where will your pet(s) be kept in your absence (i.e. crate, kitchen, free roam, etc.)? _______________________________
_________________________________________________________________________________________
*Please note: Wags to Whiskers Pet Sitting cannot be held responsible for any injury, disappearance, death or fines of any pets with access to the outdoors.
Please list your pet(s) usual meal times and feeding instructions. ____________________________________________
_________________________________________________________________________________________
What times is your pet(s) generally taken out to relieve him/herself? _________________________________________
Please list names and numbers of anyone who may have access to your home (landlord, cleaning services, neighbor, etc.)
_________________________________________________________________________________________
Notes/other information: _______________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
Name: ___________________________________________ Home Phone: ________________________________
Address: ___________________________________________________________________________________
Cell Phone: _________________________________ E-Mail: __________________________________________
How we can contact you while you are away: __________________________________________________________
Emergency Contact: ___________________________________________________________________________
Veterinarian Name, Address and phone#: ____________________________________________________________
_________________________________________________________________________________________
Pet(s) Information:
Breed: ___________________________ Name: ____________________________ Age: ________ Sex: ________
Breed: ___________________________ Name: ____________________________ Age: ________ Sex: ________
Breed: ___________________________ Name: ____________________________ Age: ________ Sex: ________
Please list all vaccinations and dates each was administered:
Pet: ____________________ Rabies: _________________ DA2PP: ___________________ FVR: _____________
Pet: ____________________ Rabies: _________________ DA2PP: ___________________ FVR: _____________
Pet: ____________________ Rabies: _________________ DA2PP: ___________________ FVR: _____________
Below please list any medications your pet(s) is currently taking:
Pet ______________________________________________________________________________________
Name of Medication ___________________________________________________________________________
Time(s) medication needs to be administered __________________________________________________________
Amount of medicine to administer __________________________________________________________________
Where will your pet(s) be kept in your absence (i.e. crate, kitchen, free roam, etc.)? _______________________________
_________________________________________________________________________________________
*Please note: Wags to Whiskers Pet Sitting cannot be held responsible for any injury, disappearance, death or fines of any pets with access to the outdoors.
Please list your pet(s) usual meal times and feeding instructions. ____________________________________________
_________________________________________________________________________________________
What times is your pet(s) generally taken out to relieve him/herself? _________________________________________
Please list names and numbers of anyone who may have access to your home (landlord, cleaning services, neighbor, etc.)
_________________________________________________________________________________________
Notes/other information: _______________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
| Please check off services you are requesting. |
Basic Pet Sitting Visit - vacations, business trips, etc.
Length of Visit:
20 min. visit ($18) 40 min. visit ($28)
Services:
Feed/water pets Water plants
Short walk (weather permitting) Outdoor playtime
Bring in mail/newspapers Scoop litter boxes (please note above
how/where litter is to be discarded)
Alternate lights/TV/blinds Errands (pet supplies, light groceries. The
fee for this service is $25/hr + cost of supplies)
Transportation to Vet/Grooming
Appointments ($25/hour)
Work Week Mid-Day Relief Break - $18/20 min. visit
$15/visit if 3 or more visits scheduled per week
Short walk (weather permitting) Outdoor playtime
Errands (pet supplies, light groceries. The fee for this service is $25/hr + cost of supplies)
Transportation to Vet/Grooming Appointments (The fee for this service is $25/hour)
| Please check preferred times for visits |
Initial term of service is from ________________________ to ______________________________
_________________________________________________________________________________________
| Attachment to Service Agreement Please fill in the following information as thoroughly and accurately as possible |
7:00am - 9:00am 7:00am - 9:00am 7:00am - 9:00am 7:00am - 9:00am
7:00am - 9:00am 7:00am - 9:00am 7:00am - 9:00am
7:00am - 9:00am 7:00am - 9:00am 7:00am - 9:00am