2022 Client, Vet, + Assignment Information

Name*

First Name Last Name

Address*

Street Address

Street Address Line 2

City State

Postal / Zip Code

Mobile Phone Number*

Area Code Phone Number

Email*

example@example.com

Local Emergency Contact*

First Name Last Name

Emergency Contact Phone Number*

Area Code Phone Number

Location of extra key, special instructions regarding locks, gates, etc.*

*please give door, alarm, or lock box codes/passwords directly to your sitter, not on this form

Pet's Name(s) and species. ALL pets in the household must be listed, even if we aren't caring for them...no surprise fish, hamsters, stick bugs, etc, please. If they’re breathing and in your house while we are there, we’d like to know about them.*

*PLEASE INCLUDE type of pet, breed if applies. You’ll have the opportunity to offer detailed descriptions/info on the pet info form.

If you are unreachable at any time while we are caring for your pet(s), please provide* an accepted payment method so that we may seek veterinary care should your pet(s) become ill or injured. Please check with your preferred veterinary hospital for their policies on billing. Do not assume they will bill you for services...most will not and will require payment BEFORE even looking at your pet; we want your pets to receive emergency care if needed!*

*payment methods include credit card, Care Credit, immediate Venmo or PayPal transfer via your emergency contact. What form of payment will you be providing in case of emergency IF WE CANNOT REACH YOU? Please DO NOT enter credit card numbers here.

If any of the pets named above becomes ill or is injured, I request that Two Dogs Pet Services take the pets to my preferred veterinary hospital listed below, or if they are closed, the Emergency Veterinary Hospital listed below.*

Name of preferred Veterinary Hospital

Phone Number of preferred vet*

Area Code Phone Number

Address of preferred vet*

Street Address

Street Address Line 2

City State

Postal / Zip Code

Name of Emergency Veterinary Hospital*

*MUST be open all night + Sundays

Phone Number of Emergency vet*

Area Code Phone Number

Address of emergency vet*

Street Address

Street Address Line 2

City State

Postal / Zip Code

If neither of the veterinary offices named above is available, I authorize Two Dogs Pet Services to choose a different veterinary office for treatment. I understand that Two Dogs Pet Services cannot be held responsible for the results of the veterinary treatment or the loss of my pet(s).*

I authorize Two Dogs Pet Services to choose a vet for my pet(s) if my preferred vet/emergency vet that I've listed above are unavailable.

I have requested that Two Dogs Pet Services take care of my pet(s). I agree to pay the charges accrued for the services provided as outlined in this agreement and will adhere to the payment policies as outlined in the Policies and Procedures form. I am aware I can find the current Policies and Procedures on the Two Dogs Pet Services website anytime.*

I understand and agree

DOGS ONLY: If we will be walking your dog while you’re away, how often and how long do you walk your dog?

We go the extra mile for every pet, but if your dog isn’t accustomed to going on walks twice a day and you’re asking us to provide that service, we may not be able to accommodate you. It’s up to your pup, we won’t do anything intentionally to cause stress or concern for your pup family.

Date of first visit:*

Date

Time frame of first visit:

7am-10am11am-2pm4pm-7pm

Date of last visit:*

Date

Time frame of last visit:

7am-10am11am-2pm4pm-7pm

Total number of daily visits for entire assignment**

*Daily visits include morning, midday, evening only. Do not include overnight stays.

Total number of overnight stays for entire assignment**

*Overnight stays only. Do not include daily visits.

Our holiday visit rate is $8.50 per visit (visit = single overnight stay, single walk, single pet care visit). Please check all holidays that apply to your travel dates above:

Please enter your quoted or current rate per visit/walk, or overnight stay**

*Our default rates for each visit for one dog or two cats are $29 for 30 min, $34 for 45 min, $39 for 60 min, and for overnights, $99. Each additional dog or pair of cats is $5 additional per visit. If you’re not sure of your rate, please text Jen 626-673-7978

Where would you like to receive the breakdown of charges and total cost of this pet care assignment?*

TextEmail

What form of payment will you be using for your deposit/payment in full? *

Payment in full or 50% deposit due upon booking of all services. Please see our Policies & Procedures on our site for full payment info.

Additional household duties not pertaining to your pets care:*

Watering plants, trash bins to/from street, special mail instructions, etc. If none, enter “none”.

Will anyone else be accessing your home or yard while we are caring for your pets or while you’re away? Please let us know if you have yard work, pool cleaning, house repairs, cleaning crew, etc scheduled while you’re away.*

*please list dates, times, or any other important info that would be useful for your sitters to have. If you request that your sitter be present or we need to make special adjustments to the schedule to accommodate others or need to double check doors, gates, etc, please let us know here. There may be an extra charge if your sitter is not scheduled to visit your pets but you need them there for other reasons.

Where and how can we reach you while you are away?*

***PLEASE VERIFY BY TEXT OR CALL WHEN YOU HAVE RETURNED HOME****

I will

Do you want us to continue to visit if we do not hear from you? (If yes, you are responsible to pay additional visit charges within 3 days)*

By submitting this form, you are stating that you have entered true and correct information to the best of your ability.*

Clear