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Pet Care Booking Form

Mr/Mrs/Miss/Ms

First Name

Surname

Address 1

Address 2

County

Post Code

Home Phone

Mobile

Emergency Contact Name

(For emergency, please list a person who can make a decision concerning your pet/property in your absence including medical treatment. Please ensure the person is aware you have nominated them).

Emergency Contact Telephone

Visiting Start Date

Visiting End Date

Until Further Notice

Day of the week

Time of visit

Walk/Visit Duration (30, 40, 60 minutes)

Pet Name

Age

Sex

Chipped?

Neutered/Spayed?

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.

PROPERTY SECURITY: 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

Does your pet live inside or outside

Please indicate any 'Off Limits' areas of your house

Does your pet require feeding?

Location of Food

How often should your pet's cage/litter tray be cleaned?

Where are the supplies/bin bags/cleaning materials kept?

Does your pet bite/scratch?

Do I need to give your pet any medication or treatment? If Yes please fill out Permission to Administer Medication Form)

Does your pet have a favourite hiding place?

What treats do you give your pets?

Quantity of food & feeding times

List any other information here such as plants watered (how often), bins out (when), grooming, pick up post (placed?), lights on/off, curtains and security checks.

PAYMENT AGREEMENT. I agree to pay Susan Brown:

PLEASE SELECT ONE OF THE FOLLOWING. I agree to pay

AGREEMENT: 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

Alarm Company Name and Address

Alarm Company Telephone Number

Instructions To Arm/Disarm Alarm

Any other behaviour/habits/fears we should be aware of?

Emergency cut off switches located Gas, Electric, Water