Platinum Paws Pet Services Client and Pet Profile

Fill Out Your Profile

This is a secure site. To provide you and your pets with the best possible care and service, we kindly ask that you provide us with as much detail as possible. Thank you in advance!
Please type “X” in fields that do not apply to you.
Contact Information
Name*

First NameLast Name
Address*
E-mail*
example@example.com
Cell Number*

Area CodePhone Number
Home Number

Area CodePhone Number
Work Number

Area CodePhone Number
Your Birthdate: Just month and date is fine. We like to celebrate Birthdays around here!
Spouse/Partner:
Their Number

Area CodePhone Number
How did you hear about us?*
Key exchange option (Hide-A-Key, Lock Box, Garage Code, Key Service):
Location of hide-a-key or lock box (include lock box code) or front door code:*
Emergency/Security
Emergency contact name (someone other than you):

First NameLast Name
Emergency Contact Number

Area CodePhone Number
Do they have a key to your home?
Is there anyone else that has a key to your home (Service workers, friends, family, or neighbors)?
Names and #’s of those with a key (in case we get locked out):
Names of those who will also be at your home during your absence:*

First NameLast Name
Full Name

First NameLast Name
Dates and times expected to be at your home:

MonthDayYearHourMinutesAM/PM Option
Date

MonthDayYearHourMinutesAM/PM Option
Do you have a security system?*
Do you want us to use the alarm?*
Security Code In:
Security Code Out:
Word for accidental alarm cancellation (in case of a power outage):
Security company:
Keypad location and instructions:
Do you rent or own your home?
If renting, landlord's name:

First NameLast Name
Landlord's telephone # (in event of emergency):

Area CodePhone Number
Supply Location
Leash Location:
Location of Kennel/Cat Carrier:
Food Location:
Cleaning Supply Location:
Pick-Up Disposal Bags:
Treats Location:
Bowls Location:
Litter Box Locations:
How many litter boxes?
Method to dispose of dirty litter:
Where to place the poop after walk or drop-in visit?
Indoor potty clean up instructions (if you pet has an accident in the home):
House Management
Network Name
Network Password
Location of fuse box:
Location of water shut off:
Trash Location:
Where would you like your mail and newspapers to go?
Would you like us to rotate the lights?
Would you like us to take out the trash and recycling?
If so, on what days should the trash and recycling be put out to the curb?
House Temperature (Winter Months)*
House Temperature (Summer Months)*
Would you like us to water the plants?
Are there locations of the house off limits to pets?
Dogs allowed on furniture?
Pet Profiles
Pet's Name:*
Classification (dog, cat, etc.):*
Breed:
Gender:
Neutered/Spayed:
Birth Date

MonthDayYear
Adoption Date

MonthDayYear
Physical Description:
Weight:
Disposition (Friendly, Calm, Hyper, Independent, Lazy, Protective, Shy Nervous):
Has this pet ever bitten anyone or behaved aggressively or has been reported as being involved in a bite incident?*
Is your dog a flight risk?
Are you aware of any reason we should approach your pet with caution?
Reaction to children:
Reaction to other animals:
Vet Clinic:*
Vet Phone:
ID Chip*
ID Tag # (Microchip Number):
Pet's collar color:
Feeding and water instructions:
What time are your pets usually fed in the a.m. and p.m.?
Brand of Pet Food Used:
Medical information:
History of illness?

YesNo
If yes, explain:
Rabies shot good through (date):*
Pet care routine:
Walking routine and route:
Daily exercise to be given:
If you let your pet(s) go outside, what time do you let your pet(s) out for:
First morning potty break blanks a.m.
Last evening potty break blank p.m.
Pet's favorite toys and special treats:
May pet sitter give your pet treats?
Allergies:*
Likes:
Dislikes:
In the event of pet(s) death in your absences, what arrangements should be made?
PET #2 | detailed info | name, DOB, classification, breed gender,ID chip, physical description, disposition etc
PET #3 | detailed info | name, DOB, classification, breed gender,ID chip, physical description, disposition etc
All additional pets | detailed info:
Additional comments
For Dogs Only
Is your dog leash trained?
If so, does your dog:
What voice commands does your dog know? Sit, down, recall, eating etc.
Any specific behaviors work on? Training techniques being used?
Restrictions:
Do you kennel your dogs?*

YesNo
What are the kennel instructions, or commands? If so, do they stay in the kennel when no one is home? Only overnight?
Multi-Dog (Pet) Homes
Do the dogs get fed seperately?
If so: who gets fed where and with bowl?
Which bowl belongs to which dog/pet?
How do the dogs do walking together? Seperate?
Poop Scooping Clients
Where do your dogs poop? (front yard, back yard, or on the side of the house)
Where do you keep your outside trash can?
What day of the week do you want the clean up done?
Clean up frequency:

Once a weekEvery two weeksMonthlyOne Time
Should be Empty:

Fill Out Your Profile

Please type “X” in fields that do not apply to you.

Contact Information

Emergency/Security

Supply Location

House Management

Pet Profiles

For Dogs Only

Multi-Dog (Pet) Homes

Poop Scooping Clients