Client Profile
Your Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
*
example@example.com
Your Date of Birth
Just month and day
Cell Number
*
Please enter the best phone number to reach you
Vacation Phone Number
Please enter a valid phone number.
Date of DepartureStart Date
*
-
Month
-
Day
Year
Date
Date of ReturnEnd Date
*
-
Month
-
Day
Year
Date
How many visits would you like on the DepartureStart Date?
*
Please Select
0
1
2
3
4
5
How many visits would you like on the ReturnEnd Date?
*
Please Select
0
1
2
3
4
5
How many visits would you like on the days in between?
*
Please Select
1
2
3
4
5
Where is the sitter to park their car?
How would you like for me to contact you regarding the visit reports?
*
A report after every visit
Just a daily summary, if more than one visit
Report sent via text to phone number
Report sent via email
Other
How will I have access to home?
Please Select
Copy of key
Lockbox on property
Hide-a-key on property
Door code
Physical Keys to be returned on:
-
Month
-
Day
Year
Date
Local relative or neighbor with an extra key
First Name
Last Name
RelativeNeighbor Phone Number
Please enter a valid phone number.
Pet care responsibilities shared with anyone else not affiliated with Paws & Play Pet Care during your absence?
*
Please Select
Yes
No
If yes, please provide their name and contact number
In the event of a pet emergency, your sitter should:
*
Contact you first at the number provided above
Contact Emergency Contact First
Take pets directly to the specified veterinarian first
In the unfortunate event of your pet's passing during your absence, what would you like your sitter to do?
*
Call your veterinarian and want your pet to receive immediate emergency veterinary care even if the sitter has determined the pet has passed
Call your veterinarian to watch over your pet's remains until you return
Contact designated service below to start cremation or burial process
Name of service provider to contact if pet passes:
Does your pets have an Instagram or FaceBook account? If so, please provide the page information below if you would like for me to add photos to their account:
You authorize Paws & Play Pet Care to use images taken in photography or video format to use in social media or for advertising purposes?
Yes
No
Your home is equipped with interior or exterior home surveillance cameras:
Yes
No
Pet Information
Pet's Name
*
Pet's Date of Birth
*
Pet's Sex
*
Please Select
Male (fixed)
Female (fixed)
Male (intact)
Female (intact)
Vaccinations current?
*
Please Select
Yes
No
No, but have an appointment scheduled
Any history of aggression (scratching andor biting?)
*
Please Select
Yes
No
If yes, please explain
How does your pet react to your absence from home?
How does your pet react to children andor other pets?
Feeding instructions
*
What is their attitude toward food?
Any medications or supplements given?
Does your pet have any physical conditions, issues, or illnesses that the sitter should be aware of?
Yes
No
If yes, please describe
Location of hiding spots
Any off-limit rooms?
If yes, please list
Play timeWalking Schedule
Favorite Toys
Click on the arrow to add another pet
Pet's Name
Pet's Date of Birth
Pet's Sex
Please Select
Male (fixed)
Female (fixed)
Male (intact)
Female (intact)
Vaccinations current?
Please Select
Yes
No
No, but have an appointment scheduled
Any history of aggression (scratching andor biting?)
Please Select
Yes
No
If yes, please explain
How does your pet react to your absence from home?
How does your pet react to children andor other pets?
Feeding instructions
What is their attitude toward food?
Any medications or supplements given?
Does your pet have any physical conditions, issues, or illnesses that the sitter should be aware of?
Yes
No
If yes, please describe
Location of hiding spots
Any off-limit rooms?
If yes, please list
Play timeWalking Schedule
Favorite Toys
Click on the arrow to add another pet
Pet's Name
Pet's Date of Birth
Pet's Sex
Please Select
Male (fixed)
Female (fixed)
Male (intact)
Female (intact)
Vaccinations current?
Please Select
Yes
No
No, but have an appointment scheduled
Any history of aggression (scratching andor biting?)
Please Select
Yes
No
If yes, please explain
How does your pet react to your absence from home?
How does your pet react to children andor other pets?
Feeding instructions
What is their attitude toward food?
Any medications or supplements given?
Does your pet have any physical conditions, issues, or illnesses that the sitter should be aware of?
Yes
No
If yes, please describe
Location of hiding spots
Any off-limit rooms?
If yes, please list
Play timeWalking Schedule
Favorite Toys
Click on the arrow to add another pet
Pet's Name
Pet's Date of Birth
Pet's Sex
Please Select
Male (fixed)
Female (fixed)
Male (intact)
Female (intact)
Vaccinations current?
Please Select
Yes
No
No, but have an appointment scheduled
Any history of aggression (scratching andor biting?)
Please Select
Yes
No
If yes, please explain
How does your pet react to your absence from home?
How does your pet react to children andor other pets?
Feeding instructions
What is their attitude toward food?
Any medications or supplements given?
Does your pet have any physical conditions, issues, or illnesses that the sitter should be aware of?
Yes
No
If yes, please describe
Location of hiding spots
Any off-limit rooms?
If yes, please list
Play timeWalking Schedule
Favorite Toys
Click on the arrow to add another pet
Pet's Name
Pet's Date of Birth
Pet's Sex
Please Select
Male (fixed)
Female (fixed)
Male (intact)
Female (intact)
Vaccinations current?
Please Select
Yes
No
No, but have an appointment scheduled
Any history of aggression (scratching andor biting?)
Please Select
Yes
No
If yes, please explain
How does your pet react to your absence from home?
How does your pet react to children andor other pets?
Feeding instructions
What is their attitude toward food?
Any medications or supplements given?
Does your pet have any physical conditions, issues, or illnesses that the sitter should be aware of?
Yes
No
If yes, please describe
Location of hiding spots
Any off-limit rooms?
If yes, please list
Play timeWalking Schedule
Favorite Toys
Pet's Name
Pet's Date of Birth
Pet's Sex
Please Select
Male (fixed)
Female (fixed)
Male (intact)
Female (intact)
Vaccinations current?
Please Select
Yes
No
No, but have an appointment scheduled
Any history of aggression (scratching andor biting?)
Please Select
Yes
No
If yes, please explain
How does your pet react to your absence from home?
How does your pet react to children andor other pets?
Feeding instructions
What is their attitude toward food?
Any medications or supplements given?
Does your pet have any physical conditions, issues, or illnesses that the sitter should be aware of?
Yes
No
If yes, please describe
Location of hiding spots
Any off-limit rooms?
If yes, please list
Play timeWalking Schedule
Favorite Toys
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Information About Your Home
For cats, are they indoor only?
Please Select
Yes
Have access via doggie door
Have access to an enclosed, screened area
Location of food bowls?
Location of water bowls?
Location of leashes and carriers
Location of toys and brushes
Location of cleaning supplies, extra food, and treats
Location of poop bags or litterboxes
Waste disposal area
Thermostat setting and temperature range for pets comfort
Would you like for your sitter to do any of the following?
Alternate lights every visit
Alternate blinds every visit
Water indoor plants
Water outdoor plants
Bring in mail and packages left (please note, sitter will not sign for any packages)
Take garbage cans to curb
Turn on\off radio or tv
Nail trims (cats only) - $8\cat additional charge
Apply nail caps (cats only) - $5\cat additional charge
Other
Please let us know what day the garbage cans are to go to the curb or any other instructions here:
Rain or hot weather instructions
Gas Company and Phone
Location of Gas Shut-off valve
Water Company and Phone
Location of Water Shut-off valve
Electric Company and Phone
Location of breaker box
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Next
With my signature below:
I certify that my pet\s are currently in good health and currently have no communicable diseases. I further certify that my pet\s have not bitten, harmed, or shown any threatening behavior towards any person or animal. I understand that Alexandra Garver, or one of her employee's \ business partners assumes no responsibility for the loss or damage to property and any pet and is released from all related liability in the event of a home emergency. I also agree to be responsible for all special services assessed by Paws & Play Pet Care for emergency transportation, care, or supervision for my pets and home and will pay such fees when I return. I also understand that Paws & Play Pet Care is not liable for any negligence on the part of anyone other than Paws & Play Pet Care who has access to the home. Should an employee of Paws & Play Pet Care find an individual in the home during their service visit who is not listed above or in the Third Party Liability Form, they will notify the local police authority.
Signature
*
Please verify that you are human
*
Submit
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