Purrfect Scents Dog Walking & Pet Care Services
Home
Team
Services
Booking Forms
Booking Forms
Dog Walking Booking Form
Pet Care Booking Form
Medication Permission Form
Contact us
Dog Walking Booking Form
Pet Care Booking Form
Medication Permission Form
Booking Forms
;
Dog Walking Booking Form
Mr/Mrs/Miss/Ms
Mr
Mrs
Miss
Ms
First Name
Surname
Address 1
Address 2
County
Post Code
Home Phone
Mobile
Email
Emergency Contact Name
Emergency Contact Telephone
Visiting Start Date
Visiting End Date
Until Further Notice
Yes
No
Day of the week
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Time of visit
8.00
9.00
10.00
11.00
12.00
13.00
14.00
15.00
16.00
17.00
18.00
19.00
20.00
21.00
Duration of walk
30 minutes
40 minutes
60 minutes
Pet Name
Breed
Age
Sex
Male
Female
Chipped?
Yes
No
Neutered/Spayed?
Yes
No
Name of Vet
Practice Address
Practice Telephone Number
I have given permission for Purrfect Scents Dog Walking & Pet Care/Susan Brown to act as a guardian for my pets named above, I AUTHORISE THE ABOVE VETS TO TREAT MY PETS IN CASE OF ANY ILLNESS. I will be responsible for any vets charges that may be incurred. Please take any action suitable in order to keep my pets in good health. I give the pet carer permission to transport the above pets to the named vets. I agree that in the event of surgery or euthanasia the petsitter will accept the advice of the vet and (if unable to contact you) the above emergency contact will be contacted.
I have released a set of keys to:
Alarm Code (If applicable)
*I wish Purrfect Scents Dog Walking & Pet Care/Susan Brown to retain the above Key/Set of key(s) Y/N Purrfect Scents Dog Walking & Pet Care/Susan Brown can only give your key(s) back to the above client and not a third party. Purrfect Scents Dog Walking & Pet Care/Susan Brown must be informed if there is likely to be anyone in your property when visiting i.e. cleaners/painters. I understand that no liability can be attached to Purrfect Scents Dog Walking & Pet Care/Susan Brown if a third party shares access to my property or pets
Yes
No
Does your pet live inside or outside
Inside
Outside
Please indicate any 'Off Limits' areas of your house
Does your dog wear an ID tag?
Yes
No
Location of lead/harness
Please indicate what treats (if any) does your dog have after walks
What words do you use to call your dog?
What worries/dislikes does your dos(s) have and do they mix well?
Do I need to give your pet any medication or treatment? If Yes please fill out Permission to Administer Medication Form)?
How do you clean your dog after a wet/muddy walk?
Location of dog towels/cleaning products
Any special requests (e.g. Pick up Post)?
I give the pet carer permission to transport my dog(s) to a suitable walking destination Y/N
Yes
No
PLEASE SELECT ONE OF THE FOLLOWING. I agree to pay Susan Brown:
A fee of £8.00 per 30 minute walk
A fee of £12.00 per 60 minute walk
A fee of £10.00 per 40 minute group walk
PLEASE SELECT ONE OF THE FOLLOWING. I agree to pay
In advance by cash to be left for collection by Purrfect Scents Pet Care on the first visit of each week.
In advance by cheque made payable to Susan Brown.
By Standing Order Monthly In Advance.
By Bank Transfer upon receipt of an invoice from Purrfect Scents
AUTHORISATION.I Authorise Purrfect Scents Dog Walking & Pet Care/Susan Brown to carry out any action they consider suitable in order to protect and keep my pet in good health. I confirm that I will be responsible for any costs which might be incurred, either veterinary or other, as a result of any sickness, accident or damage caused to or by the above named pets(s), excepting third party liability, and that I will pay any such costs or expenses on demand. I also understand that no liability will attach to the petsitter. By submitting this agreement I (the client) agree the information I have provided is true and correct. I have read the Terms and Conditions and agree to them. I agree to the conditions above for the key(s) being held by Purrfect Scents Dog Walking & Pet Care/Susan Brown. I have also read and agree to the Veterinary Authorisation Details above.
Client Name
Date of Agreement
Send form
×
Heading