Dog Walking/Pet Sitting Form
Owners Name: ......
Address: ......
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Mobile Contact Number: ......
Home/Work Contact Number: ......
Vet Details: ......
Pets Name: ...... Breed: ......
Sex: ...... DOB: ...... Spayed: ......
Injections / Boosters up to date: ......
Kennel Cough Vaccinated: ......
Flea & Wormed: ......
Micro chipped: ...... Insured: ......
Special Medicine Requirements: ......
Allergies: ......
Dog Friendly: ...... People Friendly: ......
Other Information: ......
Permission from owner to walk the dog off lead: ......
All above information detailed is correct Date: ......
Owner Print Name: ...... Owner Sign: ......
Owner’s permission for Dog Walker/Pet Sitter to administer any required emergency First Aid: ......
Permission to take Pet to the Vet in case of emergency: ......
In the event of an emergency, the Walker/Sitter shall contact the Owner at the numbers provided to confirm the Owner's choice of action.
If the Owner cannot be reached timeously, the Walker/Sitter is authorized to:
Transport the pet(s) to the listed veterinarian.
Request on-site treatment from a veterinarian.
The Walker/Sitter is released from all liability related to transporting pet(s) to and from any veterinary clinic or kennel, the medical treatment of the pet(s) and the expense thereof.
The Owner shall be liable for all medical expenses and damages resulting from an injury to the Walker/Sitter caused by the pet(s)as well as any damage to the Owner's property.
The Walker/Sitter accepts no liability for any breach of security or loss of, or damage to, the Owner's property.
The Walker/Sitter accepts no liability for any pet contracting any illness, infestation or for any mishap of whatsoever nature which may befall them whilst in their care.
The Owner must provide anID Tag on any Collars or Harness provided.
Pet Owner viewed: Public Liability / Dog Walking & Pet Sitting insurance documents and CRB/DBS disclosure document:
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Any Other Information: ......
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Owner Sign & Date: ......
Dog Walker/Sitter Sign & Date: ……………………………………………………………..……………………......
Veterinary Release Form
Owners Full Name: ......
Address: ......
Mobile Contact Number: ......
Home/Work Contact Number: ......
Emergency Contact Name & Contact Number: ......
Pet Name: ...... Description: ......
DOB: ...... Medical Conditions /Medication: ......
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Pet Name: ...... Description: ......
DOB: ...... Medical Conditions / Medication: ......
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Pet Name: ...... Description: ......
DOB: ...... Medical Conditions / Medication: ......
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If any Pet named on this form become ill or injured, I request ANGIE SHERIDAN of Angie’s Walkies & Welliestake the Pet(s) to: -
Veterinary Office Name: ......
Address: ......
Contact Number: ......
Pet Insurance Company: ......
Pet Insurance Reference/Policy Number: ......
I hereby authorise the attending veterinarian to treat any Pet as listed on this form.
I accept all responsibility for all fees and charges incurred in the treatment of any
of my pets.
The Dog Walker/Pet Sitter is authorised to transport my Pet(s) to and from the veterinary clinicfor treatment or to request ’On-Site’ treatment if deemed necessary.
If I cannot bereached in case of emergency, the walker/sitter shall act on my behalf to authorise anytreatment, excluding euthanasia.
I give my permission to approve treatment up to £1000.
I will assume full responsibility upon my return for payment and/or reimbursement
for veterinary services rendered up to the above stated amount.
Dog Walker/Pet Sitter Name:…………………………………………………………...... …………………………………......
Dog Walker/PetSitter Signature: ......
Owners Signature: ......
Date: ......
Feeding & Care Form
Owners Name: ……………………………………………………………......
Address: ……………………………………………………………………...... …………………………………………………………………………………………………………………………………………………………………………
Contact Number: ……………………………………………………………...
Pets Name: ...... Breed: …………………….…………………………………………..…......
Sex: ...... DOB: ...... Spayed:......
Special Medicine Requirements: ...... ……………………………………………………………………………………
Allergies:……………………………………………………………………..... …………………………………………………………………..……………....
Feeding & Care Requirements: …………………………………………….. …………………………………………………………………………………………………………………………………………………………………………
Pets Name: ...... Breed: ...... Sex: ...... DOB: ...... Spayed: ......
Special Medicine Requirements: ......
Allergies:......
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Feeding and Care Requirements: ......