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Pet Owner Contact Information;

Pet (s) Name

Client's Name

Phone

Email

Address

Street

CityState Zip

Comments


 Pet Information Disclosure

Please complete one pet information disclosure form per pet, aquarium, or litter.

Owner:_____________________________________ Pet’s Name:___________________________

Length of time owned: _________________________ Pet Type:Dog / Cat / Horse /Other____________

Breed:________________________________________ Declawed: Y/N Neutered: Y/ N Sex: M/F

Physical Description (if similar to another): Birth date or age: ______________________

_____________________________________________ Weight or size:_________________________

Feeding Instructions:

Feed apart from other pets/supervise Dispose of uneaten food Remove food after ____ Min

Dry Brand:

Measure with:

Amount:

When to feed:

Morning

Afternoon

Evening

Night

Procedure:

Wet Brand:

Measure with:

Amount:

When to feed:

Morning

Afternoon

Evening

Night

Procedure:

Medication(s):

Amt:

Location:

Hide In Treat:

Morning

Afternoon

Evening

Night

Procedure:

Medication(s):

Amt:

Location:

Hide In Treat:

Morning

Afternoon

Evening

Night

Procedure:

 Water will be

cleaned and filled

frequently

Tap

Bottled

Filtered

Dish Location:

Water Location:

Treats Name:

Amt:

Location:

Notes:



Pet’s Name: ______________________ Owner:________________________

Veterinary and Medical:

Pet Medical History: (ongoing or reoccurring known illnesses/injuries, treatments & medications):

Emergency Care (placing a credit card on file at your veterinary office is recommended):

Vet Name:_____________________________________ Pet Allergies: ________________________________

Clinic Name: ____________________________________Vaccinations up to date on (month/yr): ____________

Phone: ____________________________________________Heartworm test: Negative / Positive

Temperament/Personality:

Pet Doesn’t Like:

Baths Hot Days Sharing Food Dishes

Toenail Clip Rain / Snow / Cold Loud Noise / Vacuum / Garbage Disposal / Thunder

Massage New Animals All Humans

Touch Ears Other family pets Strangers

Sprays People near food dish Other:____________________________________

If checked, please describe

reaction:_________________________________________________________________________________

Has Pet Ever: Describe (even if mild, or under extreme/unusual situations) Attacked someone/bit someone

Attacked another animal

Injured self /escaped out of fear

Injured self out of boredom

Escaped from home If so, where does he/she like to escape to? How can he/she be retrieved?

_____________________________________________________________________________________

_____________________________________________________________________________________

Commands: (list commands your pet knows):

Allowed to go for rides in sitter vehicle? Y / N May play with sitter’s personal pet(s) for socialization? Y / N

Favorite Games, Toys, and Activities:

_____________________________________________________________________________________

____________________________________________________________________________

Signature: _____________________________________________ Date: ________________

Rex And Sly Pet Sitting Service

Vet Form


In the event that any of my pets or large animals appears to be ill, injured, or at significant risk of experiencing a medical problem at the start of service or while in the care of Rex And Sly’s Pet Sitting Service, I give permission Rex And Sly’s Pet Sitting Service to seek veterinary service from a veterinarian or a veterinary clinic.  My preferred veterinary services are listed on each individual Pet Information Disclosure.  Other veterinarians or emergency care clinics chosen by the pet sitter are acceptable.  

 I ask Rex And Sly’s Pet Sitting Service to inform the attending clinic or veterinarian of my requested total diagnosis and treatment limit of $_____________  per pet / all pets (most common values are $200, $1000, or unlimited).  I understand that efforts will be made to contact me regarding any treatments, illness, injury, or potential problems as soon as the condition is deemed not life threatening and/or contact is possible.   I understand that Rex And Sly’s Pet Sitting Service care providers work hard to prevent accidents and injuries, and that such problems may occur no matter how well a pet is cared for.

I agree to allow Rex And Sly’s Pet Sitting Service to use their best judgment in handling these situations, and I understand that Rex And Sly’s Pet Sitting Service and its staff assume no responsibility for the actions and decisions of the veterinary staff, the health, or death of my pet(s).

 I will assume full responsibility for the payment and/or reimbursement for any and all veterinary services rendered, including but not limited to diagnosis, treatment, grooming, medical supplies, and boarding.  Such payments will be made within 14 days of the initial incident.  I also agree to be responsible for all Special Service fees assessed by Rex And Sly’s Pet Sitting Service for emergency transportation, care, supervision, or hiring of emergency caregivers, and will pay such fees within 14 days of each incident.

 I further authorize Rex And Sly’s Pet Sitting Service and my primary veterinarian(s) to share all of the medical records of all of my animals with veterinary clinics in an emergency in the interest of providing the best care for my ill or injured animal(s).

 Every dog, cat, and horse at the site of service will be current (per my veterinarians recommendations) on its rabies vaccinations prior to the arrival of any caregiver.  I will also make arrangements to guarantee that each animal will remain current on its rabies vaccinations throughout each service visit period.

 I agree to notify Rex And Sly’s Pet Sitting Service of any signs of injury or possible illness before any visit as soon as the condition appears. Rex And Sly’s Pet Sitting Service reserves the right to cancel service at any location where a pet with a potentially infectious condition exists. Rex And Sly’s Pet Sitting Service strives to provide clean, safe service to each of our clients.  In doing so, Rex And Sly’s Pet Sitting Service strongly recommends that each pet and large animal be vaccinated, dewormed, and protected from harmful insects according to veterinarian recommended standards.

 This agreement is valid from the date below and grants permission for future veterinary care without the need for additional authorization each time Rex And Sly’s Pet Sitting Service cares for one or more of my pets.  I understand that this agreement applies to all of the pets and large animals within  Rex Aand Sly's Pet Sitting Services care.  In signing this contract, I agree that I have the sole authority to make health, medical, and financial decisions regarding the animals that will be scheduled to receive service.

 
Client/Owner Name:                                       

Pet Name:                     

Signature: _____________________________________  Date: ____________


~~~~ Dog Walking Profile ~~~~

 
 

Dog’s name: __________________________  Age: ____________ Male  /  Female            Spayed  /  Neutered

Breed:                                                   Markings:                                                         Shots                          

Is your dog micro-chipped?    YES     NO       Chip #:                                                                                                

                                                                        Registry company:                                                                  

Is your dog licensed with the city?    YES     NO                     License number:                                                         

 
When you walk your dog, if he sees another dog, does he:

Yes  No  Ignore the other dog
Yes  No  Show some interest but keep walking
Yes  No  Wag his tail in a playful manner and wants to play
Yes  No  Growl and become aggressive
Yes  No   Pull hard on the leash in an attempt to get to the other dog

Commands your dog knows (i.e. heel, halt, let’s walk, etc.)                                                                            

Does your dog come when called?  YES              NO  

What is your dog’s ‘come’ command?                                                                                                                        

Is there anything in particular we should be aware of when walking your dog (i.e. health issues)?                             

Where do you keep your dog walking items (leash, waste bags, etc.)


~~~~ Cat Profile ~~~~

 
 

Cat’s name: __________________________  Age: ____________ Male  /  Female Spayed  /  Neutered

Breed:                                                   Markings:                                _____ Declawed: YES/NO

Is your cat licensed with the city?    YES     NO                      License number:                                                         

Is your cat vaccinated against rabies?  YES    NO             Tag number : __________________________________

Date rabies shot expires: _____________________________________

 
When feeding your cat:

£  Dry only

£  Mix dry and can

£  Favorite food ______________________________

£  Feed time at ______________AM _____________PM

£ Special feeding instructions: __________________________________________________________

____________________________________________________________________________________

____________________________________________________________________________________

___________________________                                                                                                                 

Is your cat on any medication that must be administered?  YES/  NO     Explain____________________________

                                                                                                                        __________________________

 

Is there anything in particular we should be aware of when taking care of your cat? (i.e. health issues)?                                _____________________________________________________________________________________

Is you cat allowed outdoors? YES / NO   Skittish with strangers? YES / NO      Likes to be petted?  YES / NO

Prone to hairballs?  YES / NO           Uses the litter box reliably? YES / NO     Fearful of loud noises? YES / NO

 Has the cat bitten anyone? YES / NO        Other signs of aggression? YES / NO

Does you cat have favorite toys? YES/ NO               Hiding Places? YES/NO

Is there any thing that will bring your cat out of hiding?            ______________________________________________

Please indicate anything else about your cat's habits or behavior that would be useful to us in providing care:

____________________________________________________________________________________________                                                

 Bird Profile

 Your Substitute Parent for Pampered Pets

 Client Name: ___________________________________Phone #_____________________________

 

Bird Description_______________________________  M / F Name ______________ Friendly   Y  N Bird Description _______________________________ M / F Name ______________ Friendly   Y  N

Bird Description _______________________________ M / F Name ______________ Friendly   Y  N

 

Wings Clipped? _____ Who? __________________________________________________________

Talks?  Y  N     Words to bargain with ___________________________________________________ __________________________________________________________________________________

Afraid of Storms?   Y  N     Prone to Blood Feathers? _______________________________________

Veterinarian _____________________________________Phone Number_______________________

 

Attitude to Strangers: Check all that apply: __ Excited  __Friendly  __Aloof  __Cautious

 __ Stressed By  __Scared  __Defensive  __Indifferent  __Mean  __ Will Bite

 

Instructions for handling?_____________________________________________________________

Has this pet ever bitten anyone?    Yes      No   -   Acted aggressively towards anyone?    Yes    NoIf yes, explain: ______________________________________________________________________

 

Favorite Hiding Place(s) if out of cage?:  How best to get back in cage?_________________________

__________________________________________________________________________________

Favorite Treat(s)  Where are they kept?   How given? _______________________________________

__________________________________________________________________________________

Favorite Activities / Toys / Words: _____________________________________________________ Feeding Instructions: _________________________________________________________________ 


Rex And Sly’s Pet Sitting Service – Legal Considerations                                            

 For the purposes of this document, the terms Client, Owner, Pet Owner, and Customer are synonymous with the person contracting services for one or more domestic animals. As each item is read, please initial it.

A signed Service Request must be provided to your sitter before service is provided for any period.

Deposit in full is due at time of reservation.  Reservations are not held until payment in full is received by Rex And Sly’s Pet Sitting Service or special arrangements are agreed upon by both parties in writing.  There will be a $25 service charge for each returned check.  

 Unpaid service may be cancelled without notice, including prior to or during the service period.
Cancellation Charge Schedule effective 03/11/09 (% applies to entire service period total):
§  0 - 47 hours prior to any service, and/or Holidays: Payment in full is charged (no refunds)  
§  2 - 5 days prior to service:  20% of service total is due (equals an 80% refund)
§  6 days prior to service or more:  No charge, refund in full.
There Are Exceptions
Reservations are made to plan sitter availability to clients.  Therefore, clients returning home early will be required to pay for the reserved amount of time scheduled including travel time.  Clients will not have to pay for scheduled Special Services not preformed. 

Rex And Sly’s Pet Sitting Service is not responsible for wilted, dead or otherwise unhealthy plants.  Your Pet Sitters will work hard to follow your written directions as precisely as possible, but cannot be responsible if the results are not favorable.  Please place all indoor plants together on a waterproof surface in plain sight, as your pet sitter is not responsible for water damaged areas or missed plants.

 Rex And Sly’s Pet Sitting Service is not responsible for damage to the home beyond the control of the Pet Sitter.  This includes, but is not limited to leaks, electrical problems, and acts of nature.  In these situations, the company will attempt to contact the customer and then the emergency contact before making a subjective decision on dealing with the problem.  All repairs and related fees (including Special Service emergency service time and coordination fees) will be paid by the client, or fully reimbursed to Rex And Sly’s Pet Sitting Service within 14 days. 

 Rex And Sly’s Pet Sitting Service is not responsible for any damage to property of the client or others unless such damage is caused by the negligent act of Rex And Sly’s Pet Sitting Service. 

 Rex And Sly’s Pet Sitting Service agrees to remain fully insured through PSA or a comparable entity, including optional Special Property Endorsement (protects against theft, breakage, etc. as caused by an employee) or bonding.  Rex And Sly’s Pet Sitting Service accepts no responsibility for security of the premises or loss if other individuals have access to a client’s home, or if the home is not properly secured.

All other individuals that visit the home while Rex And Sly’s Pet Sitting Service is in service must leave a log of their visit. Rex And Sly’s Pet Sitting Service will not be liable if other individuals are attending to the pet at the same time as the hired sitter. Rex And Sly’s Pet Sitting Service is not liable for any loss or damage in the event a burglary or other crime that should occur while under this contract.  Pet Owner agrees to secure home prior to leaving the premises. Rex And Sly’s Pet Sitting Service will re-secure the home to the best of its ability at the end of each visit.  

Rex And Sly’s Pet Sitting Service is not liable for any loss or damage in the event a burglary or other crime that should occur while under this contract.  Pet Owner agrees to secure home prior to leaving the premises. Rex And Sly’s Pet Sitting Service will re-secure the home to the best of its ability at the end of each visit.                                                  

While keys are in the possession of the pet sitter, they will be either on the Sitter’s physical person, or be properly stored in an undisclosed location.  If client wants the key to be dropped off there will be a charged. Rex And Sly’s Pet Sitting Service subscribes to insurance coverage through PSA for lost key lock replacements.

Pet Owner has legal rights to place the animals in the care of Pet Sitters, Kennels, and Veterinary Clinics.  The Pet Sitter cannot service a home with “Visiting” pets or animals that do not belong to the resident of the service site without separate sets of agreement forms, including a Legal Considerations Agreement, accepted and signed by each rightful owner(s).  

The terms of this document apply to all the pets owned by the client, including any and all new pets that the customer obtains on or after the date this document was signed, at any and all locations the owner designates for service.

 Pet Owner is responsible for pet-proofing house and yard, and the security fences/gates/latches. Rex And Sly’s Pet Sitting Service will not be responsible for the safety of any pets and will not be liable for the injury, disappearance, death, or fines of any pet with unsupervised access to the outdoors.

Rex And Sly’s Pet Sitting Service is authorized to seek any emergency veterinarian assistance needed during visits, at the cost of the client, from any veterinarian as chosen by the sitter.   However, the company is not responsible for the health/wellbeing of the animal.

Pet Owner is responsible for supplying the necessary, safe equipment/supplies needed for care of their pet(s), including but not limited to a sturdy, well-fit harness (halter, collar, etc…) for walks or in case of emergencies, firmly affixed vaccination tags, a lead rope or leash, pooper-scoopers, litter boxes, food, cleaning supplies, medicines, pet food, and cat litter.  Pet Owner authorizes any purchases necessary for the satisfactory performance of duties.  Pet Owner agrees to be responsible for the payment of such items, as well as service fees for obtaining items, and will reimburse Rex And Sly’s Pet Sitting Service within 14 days for all purchases made.

Pet Owner will be responsible for all medical expenses and damages resulting from an injury to a Pet Sitter, or other persons, by the Pet.  Customer agrees to indemnify, hold harmless, and defend Rex and Sly’s Pet Sitting Service, in the event of a claim by any person injured by the Pet.

It is suggested that arrangements be made with someone to evacuate your pets in case of a disaster or weather related event/crisis/”Code Red”.  Rex And Sly’s Pet Sitting Service will definitely try to see to your pets safety/care should such events occur, but cannot guarantee it.

Future Services: I authorize this contract to be valid approval for services so as to permit Rex And Sly’s Pet Sitting Service to accept all future telephone, online, mail or email reservations and enter my home without additional signed contracts or written authorizations.  

Rex And Sly’s Pet Sitting Service  reserves the right to terminate this contract at any time if the Pet Sitter, in his/her sole discretion determines that Owner’s pet poses a danger to the health or safety of itself, other pets, other people, or the Pet Sitter. If concerns prohibit the Pet Sitter from caring for the pet, the Owner authorizes the pet to be placed in a kennel (or previously arranged locale), with all charges (including but not limited to transportation, kenneling, tranquilizing, treating, accessing, and liability) to be the responsibility of the Owner.

Rex And Sly’s Pet Sitting Service agrees to provide services stated in this agreement in a reliable, caring and trustworthy manner.  

In consideration of the services as an express condition thereof, the client expressly waives and relinquishes any and all claims against Rex And Sly’s Pet Sitting Service and its employees, except those arising from negligence.  Claims of negligence that involve a hired Independent Contractor, hired by Rex And Sly’s Pet Sitting Service, will be the responsibility of the Independent Contractor and the company they represent.  All hired Independent Contractors are required to carry liability insurance with optional coverage or bonding through a reputable company.

Client agrees to notify Rex And Sly’s Pet Sitting Service of any concerns within 24 hours of return. 

Client agrees to notify Rex And Sly's Pet Sitting Service of their schedules arrival otherwise the pet sitter will return to the home and care for the pet.

An additional charge will be added to the bill. 

This agreement is valid from the date signed, and replaces any prior Legal Considerations agreements.

Client agrees to any future Rex And Sly’s Pet Sitting Service term changes relayed verbally to the client, mailed or emailed in writing to the client, or posted on our website under the heading Terms .

The owner states that he/she has read this agreement in its entirety and fully understands and accepts its terms and conditions.

 This signed document is authorization to enter the home for the purpose of pet care or home security checks.

 
Client/Owner Name: 

smwarchak@yahoo.com

760 449 8486