Client Information
Name(Last, First, Middle Init)
Address:
Home Phone:
Office Phone:
Cell Phone:
Email:
Emergency Contacts
Please provide names and contact information of family or friends who could make decisions about your pets or your home in the event you are unreachable.
Name:
Relationship:
Phone:
Name:
Relationship:
Phone:
Name:
Relationship:
Phone:
Name:
Relationship:
Phone:
Home Security
Do you have an alarm system? Yes No
Name of Alarm Company: Alarm Company Phone#:
Names & contact info of anyone else who will be accessing your home with keys or alarm code?
Name:
Phone:
Name:
Phone:
Name:
Phone:
Aside from securing your home by locking up and resetting an alarm when I leave, below is a list of items I can do for you to give your home an “occupied” appearance while you’re away. There is also an “other” field that you are welcome to fill out to add anything that is not already on my list.
Take in mail/packages / Change Lighting / Change Curtains/Blinds / Trash Cans In/Out
Take in newspapers / Turn on Sprinkler / Water a few plants / Take in packages
Other:
Pet Sitting Booking Information
Please provide the info for the services you are requesting.
DOG WALKING
Service Start Date: Service End Date:
MON TUE WED THUR FRI SAT SUN
Time of Day: AM PM
PET CARE VISITS
Service Start Date: Service End Date:
MON TUE WED THUR FRI SAT SUN
Time of Day: : AM / : PM
Time of Day: : AM / : PM
Time of Day: : AM / : PM
Anything else?
MEDICAL/BEHAVIORAL SIT STAY
Service Start Date: Service End Date:
TIME: AM PM through AM PM
Other Details
DURING VISITS, HOME WILL BE: / Occupied Unoccupied
ONCE VISIT IS COMPLETED, PET WILL BE LEFT:
(Please check all that apply.) / Loose Crated Restricted to certain room(s)
In home Outside
HOUSE KEYS WILL BE PROVIDED DURING INITIAL MEET & GREET / Yes No
NOTE: There is a $10 key pick-up & $10 key drop-off fee.
ANY ADDITIONAL INFO YOU’D LIKE TO PROVIDE:
Pet Information
PET #1
PET’S NAME:
SPECIES: / Dog Cat Other:
BREED:
COLOR:
AGE:
GENDER: / Male Female
SPAYED/NEUTERED: / Neutered Spayed Intact
RABIES VACCINE:
All pets must be current on rabies vaccines. / Current Not Current
MICROCHIP INFO: / Chipped Not Chipped
MicroChip #
MicroChip Company Phone#:
HEALTH ISSUES:
MEDICATIONS:
DIET/FEEDING SCHEDULE:
PET’S GENERAL PERSONALITY:
Please describe any previous displays of aggression toward humans or other animals and anything else you think I should know about this pet’s personality.
Pet Information
PET #2
PET’S NAME:
SPECIES: / Dog Cat Other:
BREED:
COLOR:
AGE:
GENDER: / Male Female
SPAYED/NEUTERED: / Neutered Spayed Intact
RABIES VACCINE:
All pets must be current on rabies vaccines. / Current Not Current
MICROCHIP INFO: / Chipped Not Chipped
MicroChip #
MicroChip Company Phone#:
HEALTH ISSUES:
MEDICATIONS:
DIET/FEEDING SCHEDULE:
PET’S GENERAL PERSONALITY:
Please describe any previous displays of aggression toward humans or other animals and anything else you think I should know about this pet’s personality.
Pet Information
PET #3
PET’S NAME:
SPECIES: / Dog Cat Other:
BREED:
COLOR:
AGE:
GENDER: / Male Female
SPAYED/NEUTERED: / Neutered Spayed Intact
RABIES VACCINE:
All pets must be current on rabies vaccines. / Current Not Current
MICROCHIP INFO: / Chipped Not Chipped
MicroChip #
MicroChip Company Phone#:
HEALTH ISSUES:
MEDICATIONS:
DIET/FEEDING SCHEDULE:
PET’S GENERAL PERSONALITY:
Please describe any previous displays of aggression toward humans or other animals and anything else you think I should know about this pet’s personality.
Pet Information
PET #4
PET’S NAME:
SPECIES: / Dog Cat Other:
BREED:
COLOR:
AGE:
GENDER: / Male Female
SPAYED/NEUTERED: / Neutered Spayed Intact
RABIES VACCINE:
All pets must be current on rabies vaccines. / Current Not Current
MICROCHIP INFO: / Chipped Not Chipped
MicroChip #
MicroChip Company Phone#:
HEALTH ISSUES:
MEDICATIONS:
DIET/FEEDING SCHEDULE:
PET’S GENERAL PERSONALITY:
Please describe any previous displays of aggression toward humans or other animals and anything else you think I should know about this pet’s personality.
Pet Information
PET #5
PET’S NAME:
SPECIES: / Dog Cat Other:
BREED:
COLOR:
AGE:
GENDER: / Male Female
SPAYED/NEUTERED: / Neutered Spayed Intact
RABIES VACCINE:
All pets must be current on rabies vaccines. / Current Not Current
MICROCHIP INFO: / Chipped Not Chipped
MicroChip #
MicroChip Company Phone#:
HEALTH ISSUES:
MEDICATIONS:
DIET/FEEDING SCHEDULE:
PET’S GENERAL PERSONALITY:
Please describe any previous displays of aggression toward humans or other animals and anything else you think I should know about this pet’s personality.
Veterinary Information
VET’S NAME & CONTACT INFO:
EMERGENCY VET INFO:

PET POWER OF ATTORNEY

I,______(pet owner), appoint LeliaBeakey of Flyin’ Fur Pet Sitting, hereinafter referred to as the“Pet Sitter” as my attorney-infact, to do all that is required for maintaining the health of all pets owned by me specifically. The Pet Sitter may approve and authorize any and all medical treatment deemed necessary by a licensed veterinarian and to execute any consent, release or waiver of liability required by veterinary authorities for the provision of medical, surgical or other essential care to my pets by qualified veterinary medical personnel.

The Pet Sitter may authorize without approval from me, veterinary services up to and including $______; any amounts over and above that will require that the pet sitter or the veterinarian contact me by the phone number(s) and/or email address below.

Work#:Cell#:

Home#:Email:

My pet’s veterinarian’s name, address and phone number are:

Should the necessity for care fall outside of my regular veterinarian’s office hours I authorize the pet sitter to take my pet(s) to an emergency veterinary care facility.

I hereby release the named person(s) and institution(s) relying on this Pet Power of Attorney for Pet Care from any and all liability to me or to my estate for any actions taken pursuant to this Advance Directive and hold them harmless for their reliance on any instructions of the designated agent or alternate agent.

By my handwritten or digital signature below, I authorize the care and treatment of my pet(s) as outlined above.

Signed: ______(Owner) Date: ______

PET GUARDIANSHIP

In the unfortunate event that something happens to you, please name who should be contacted to take over the care of your pet(s).

Please be sure the named person(s) is aware that you are appointing them as legal guardians(s) of your pet(s).

In the event of my death or an emergency which incapacitates me, I authorize LeliaBeakey of Flyin’ Fur Pet Sitting to turn my pet(s) care over to:

NAME:

ADDRESS:

HOME PHONE:

CELL PHONE:

WORK PHONE:

RELATIONSHIP:

By my handwritten or digitalsignature below, I authorize the actions stated above to take place.

Date:______Signed:______(Owner)

Photo & Video Image Authorization

I authorize LeliaBeakey of Flyin’ Fur Pet Sitting to take and use videos and/or photographs of my pets for use on her website, FaceBook business page and for advertising purposes.

By my handwritten or digital signature below, I acknowledge that I understand that these photos will not depict my home address, license plates or any other personally identifying images that could cause security breaches of my home or possessions.

______

Client’s SignatureDate

______

Client’s Name (Printed)

______

CONTRACT

Please know that the utmost attention will be provided to your pet while in my care. I will treat your pets as I treat my own…with positive, loving care and much attention to safety, health and fun. The contract stipulations below describe my responsibilities and yours.

  • All pets must be current on their vaccinations, (especially their rabies vaccine) and will have their rabies tags securely affixed to their collar.
  • The client will fully describe to Flyin’ Fur Pet Sitting any previous displays of aggression of ANY type by their pet(s). This includes aggression toward other animals or humans.
  • The client authorizes Flyin’ Fur Pet Sitting to walk/exercise their pet(s) in designated locations and public areas and to enter their home to care for their pet(s).
  • The client agrees to indemnify and hold harmless Flyin’ Fur Pet Sitting from any and all liability resulting from injuries inflicted by their pet(s) on third parties; any injuries suffered by their pet(s) that are not a result of the pet sitter’s negligence; and destructive behavior in the client’s home such as soiling or chewing. Client agrees that if their pet injures the pet sitter or a third party, the client will be responsible for all ensuing expenses including, but not limited to, medical bills or co-pays, replacement of destroyed items, etc.
  • Flyin’ Fur Pet Sitting agrees to provide the services stated in this contract in a reliable, caring and trustworthy manner. In consideration of these services and as an express condition thereof, the client expressly waives and relinquishes any and all claims against the Flyin’ Fur Pet Sitting except those arising from negligence or willful misconduct on the part of the pet sitter.
  • Client must supply appropriate cleaning products for the pet sitter to use in case of indoor soiling by pets left loose in their home.
  • Flyin’ Fur Pet Sitting will make every effort possible to see to your pet’s safety and care in the event of disaster, weather related events or crisis but cannot make an absolute guarantee under these types of circumstances.
  • Flyin’ Fur Pet Sitting is not responsible for damage to the home beyond their control such as, but not limited to leaks, electrical problems or acts of nature. In such situations, the pet sitter will attempt to contact the client and/or designated emergency contact prior to making any subjective decision to resolve any such issues. All repairs and related fees will be paid by the client or fully reimbursed to Flyin’ Fur Pet Sitting immediately upon the client’s return home.
  • Flyin’ Fur Pet Sitting is not liable for any loss or damage in the event a burglary or other crime that may occur while under contract. Client agrees to secure home prior to leaving the premises and the pet sitter will secure the home at the end of each visit. While client’s keys are in the possession of the pet sitter, they will be properly secured in a locked box.
  • Client is responsible for pet-proofing their house, yard, security fences and gates and/or latches. Flyin’ Fur Pet Sitting will not be responsible for the safety of any pets or liable for the death, injury, disappearance, or legal consequences of any pet with unsupervised access to the outdoors at the client’s request.
  • Flyin’ Fur Pet Sitting is authorized to seek any emergency veterinarian assistance needed during visits, at the cost to the client, should the need arise. Pet sitter will first attempt to contact the client (if the situation allows) to take the pet to the veterinary clinic of their choosing.
  • Client will provide Flyin’ Fur Pet Sitting with the name, location and contact information of their veterinarian and the nearest emergency clinic.
  • Client will make prior payment arrangements (a credit card number on file or reserve funds on their account) that can be used in urgent and emergent circumstances with their regular vet and an emergency vet prior to lengthy pet care bookings.
  • Client is responsible for supplying the necessary equipment/supplies needed for care of their pet(s) including, but not limited to, a properly fitted harness or collar, firmly affixed vaccination tags, leashes, pooper-scoopers, cat litter, litter boxes, cleaning supplies, medicines and pet food. Client authorizes any purchases necessary for the satisfactory performance of the pet sitter’s duties. Client agrees to be responsible for the payment of such items, as well as service fees for obtaining items and will immediately reimburse Flyin’ Fur Pet Sitting for all such necessary purchases.
  • At the time service is booked, client will notify Flyin’ Fur Pet Sitting of everyone who has been granted access to their home during the service period. The pet sitter accepts no responsibility for the security of the premises or loss if other individuals have access to the client’s home.
  • Client must have legal rights to place a pet in the care of Flyin’ Fur Pet sitting or veterinary clinics. The pet sitter cannot service “visiting pets” that are not legally owned by the contracted client without a separate contract signed by each legal owner and payment for services rendered by each legal owner made in advance of the dates of service.
  • The terms of this contract apply to all of the pets legally owned by the client, including any and all new pets that the client obtains on or after the date this document is signed, at any and all locations the client designates for service.
  • Client understands this contract and takes full responsibility for prompt payment of fees for contracted services. A finance charge of 10% per month will be added to unpaid balances after 30 days. A fee of $50 will be charged on all returned checks. Clients with a history of late payments will be required to pay for all contracted services in advance prior to any services being rendered. In the event it becomes necessary to initiate collection proceedings on the account, client agrees to be responsible for all attorneys’ fees, court costs and any other related costs to Flyin’ Fur Pet Sitting during the collection process.
  • Flyin’ Fur Pet Sitting reserves the right to terminate this contract at any time before or during its term. If Flyin’ Fur Pet Sitting, in its sole discretion, determines that the client’s pet poses a danger to the health or safety of the pet sitter or the general public or if health/safety concerns prohibit the pet sitter from caring for the pet, the client authorizes the pet to be placed in a boarding facility by Flyin’ Fur Pet Sitting with all resulting charges to be charged to the client.
  • Client authorizes this signed contract to be valid approval for future services of any purpose provided by this contract permitting Flyin’ Fur Pet Sitting to accept telephone reservations for service and enter premises without additional signed contracts or written authorization.

POLICIES

PRE-BOOKING

  • All pets must be current on their vaccinations (especially rabies) prior to services being rendered.
  • A meet and greet with the client and their pet(s) at the client’s home is required before services can be booked.
  • Dogs scheduled for walks will have their current rabies tags and I.D. tags (with owner info) securely attached to their collars.
  • Client will describe any and all incidents of aggression or other behavioral issues to the pet sitter.
  • Client will notify the pet sitter of all medical conditions prior to services being rendered.
  • Client will provide pet sitter with at least one, reliable emergency contact (family member, friend, neighbor) who can care for their pet in the event of an emergency that could prevent the pet sitter from providing care (including, but not limited to: accidents, illness, road closures, weather).
  • Client is responsible for pet-proofing their house, yard, security fences, gates and/or latches.
  • Client will provide pet sitter with the name, location and contact information for their pet’s regular vet and an emergency vet.
  • Prior to lengthy pet care bookings, client will make prior payment arrangements (via credit card or reserve funds) with their regular vet in the event that their pet needs medical treatment in their absence.
  • Client will sign a “Pet Power of Attorney” authorizing the pet sitter to take their pet to any licensed vet and agrees that all veterinary charges will be paid by the client. Also, client will contact their veterinarian and ask that a note and/or copy of the signed Pet Power of Attorney document is included in their pet’s file stating that permission has been granted to LeliaBeakey of Flyin’ Fur Pet Sitting to bring their pets in for care.
  • Client must have legal rights to place a pet in the care of Flyin’ Fur Pet sitting or veterinary clinics. The pet sitter cannot service “visiting pets” that are not legally owned by the contracted client without a separate contract signed by each legal owner and payment for services rendered by each legal owner made in advance of the dates of service.
  • Clients living beyond the service area of Flyin’ Fur Pet Sitting will incur a $5 per visit fuel fee.

PAYMENT