Purrs and Playin' Paws Pet Sitting and Dog Walking Company Request Form

Purrs and Playin' Paws Pet Care, LLC Request Form - New Client

Name*

Client First NameClient Last Name

Client Phone number*

Email Address*

example@example.com

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Secondary/Emergency Contact

First Name

Last Name

Secondary/Emergency Phone Number

Please review these policies to ensure we are a good fit for you:

1. Purrs and Playin' Paws Pet Care, LLC will not share the duty of caring for a pet(s) while a client is away on vacation with the clients’ family members, friends, neighbors, other pet sitting companies or person under the age of 18.

It is a liability risk to the company to share the care of pet(s) and responsibility of the property with someone who is not an animal care professional to our company’s standards.

*In unique situations, a waiver can be signed.

This policy also applies to any irregular requests (defined as the client will be away less than a 24 hour span but not a regular midday dog walking client) when medication is involved.

2. CARE FOR SEIZURE PRONE/CRITICALLY ILL/END OF LIFE PETS‼️🔔 ‼️🔔

I unfortunately do not feel comfortable caring for pets with seizures or any similar issue. I have declined all requests from potential clients in the past. I apologize there is not a policy about it on the website, it is being added today.

My reasoning is because seizures can be very dangerous if a person is not present with the pet at the time of it. My business does not offer multi-hour care during the day, so said pet would be alone for several hours.

The pet could become injured, left in its own urine or fecal waste, or have a seizure so long it causes neurological damage, pets can also become aggressive during or when coming out of a seizure causing injury to fellow pets or the caregiver. I do not feel comfortable assuming this risk.

I am sorry to decline requests like these but I will have to recommend a facility that offers 24 hour medical supervision/boarding.

3. Midday Dog Walking Cancellation Policy

Cancellations are due by 10am the morning of a typical visit. Our dog walkers are typically out and about from 10:00am to 4:00pm and have a very precisely planned day. Cancelled midday visits post 10:00am result in a $6.50 fee that will be noted on invoice.

This fee is waived on the first occurance, but the second and thereafter offenses will result in the fee.

4. Vacation or Irregular Job Cancellation Policy

Cancelling of a fully booked vacation job (defined as the owner is not returning home for more than 1 night) is waived one time, the second and all ongoing offenses will result in 25% of job total due to compensate our walkers for sudden lost income.

5. Audio/Visual Recording Devices

It is the obligation of the client to alert the employee of Purrs and Playin' Paws if ANYONE is to be on the property or in the home during the time of service, and to share where audio and visual recording devices are located. The pet sitter reserves the right to decline the visit if they feel uncomfortable or are surprised by the presence of unknown people or recording devices. If it is discussed ahead of time, the pet sitter is obligated complete the visit.

6. Acceptable Collars

Due to our Fear Free standards and moral beliefs, Purrs and Playin’ Paws Pet Sitting and Dog Walking Company, LLC is unwilling to take on clients who utilize prong, electric shock collars, collars that produce high pitch noises only the pet can hear or any sort of choke chain collar on their dog for training purposes. The exception is shock collars worn ONLY when going outside in a yard with an underground electric fence.

7. We cannot care for outdoor/barn/stray cats that have free reign/total autonomy. Additionally we will not take on clients who keep their dogs outside regardless of the "shelter" containing them.

8. SMALL ANIMAL CARE * Please be sure to read*

Clients must include all pets that reside in the home on their new client electronic form. this includes filling out their basic information, feeding instructions, allergy information and medications needed.
If a client is away from the home for 24 hours + all small animals within the home will be charged for PER VISIT. NO EXCEPTIONS. *see pricing information on pricing page*
Small animals will be checked on for health status, will be ensured addequate food and water, and provided human interaction/enrichment at ALL VISITS. I will NOT IGNORE small animals,.

9. MEDICATION/SUPPLEMENTS etc CONTAINERS

Pills/Supplements/Preventatives $1.00/per full pill.
Liquid via Syringe/ Injections (such as Insulin) $2.00/ per dose
Eye or Ear Drops/Ointment - $1.00 per eye/ear

ALL MEDICATION MUST BE IN ORIGINAL
BOTTLE/PACKAGE WITH INSTRUCTION LABEL

Please do not remove pills, supplements, powders, or anything from its original container. If there have been changes to the dosing instructions, and there is not a new label, please have the veterinarian put it in writing. Purrs and Playin’ Paws DOES NOT ACCEPT PILL ORGANIZING CONTAINERS.

10. Dogs will not be given any sort of rawhide bone or greenie dental bone, pets will not be left with toys or bones, or "busy item" while unattended between visits. Clients are NOT PERMITTED to leave bones of any kind in crates. This is a serious choking hazard that can lead to death.

OVERNIGHT CARE - 9 HOUR STAY (9pm-6am)

1 PET $79.00

2 PETS $84.50

3 PETS $90.00

4 PETS $95.50

5 PETS $101.00

6 PETS $106.50

Tell us about our new fur friends!

Rows	Name	Age	Sex	Breed	Weight	Does this Pet take any Medications or Supplements?	Species
Pet 1
Pet 2
Pet 3
Pet 4
Pet 5
Pet 6

Weekly Midday Dog Walking Requests - please fill out the chart below, select your visit length and review our cancellation policy. After that field is initialed, please continue to scroll to the behavioral question (skipping over vacation/irregular visit scheduling chart ... unless you are simultaneously submiting for weekly dog walking and another upcoming request). ALL clients are required to fill out the allergy, feeding and medication charts so that we have the information on hand from the start . The more information our employee has about your pet, the better!

Vacation or Irregular Visit Request Clients - please scroll past weekly midday dog walking scheduling chart to find the start of your section!

WEEKLY MIDDAY DOG WALKING SCHEDULING *The guaranteed range is between 10:00am and 4:00pm, our walker will do their best to accommodate your preference.*

Rows	10:00am to 11:00am	11:00am to 12:00pm	12:00pm to 1:00pm	1:00pm to 2:00pm	2:00pm to 4:00pm
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday

15 Minutes20 Minutes30 Minutes45 Minutes

Cancellations are due by 10am the morning of a typical visit. Our dog walkers are typically out and about from 10:00am to 4:00pm and have a very precisely planned day.

Regular midday clients -please type your initials that you consent to and respect our cancellation policy

Vacation Requests and Irregular Visits

Departure date

Date

Return date

Date

Departure time

Return time

Regular Midday/Irregular + Vacation Clients all fill out fields below

YESNO

If YES, please elaborate in the space below

FEEDING ROUTINE*

Rows	Name	Dry Food Title	Quantity	Offered At	Wet Food Title	Quantity	Offered At
Pet 1
Pet 2
Pet 3
Pet 4
Pet 5
Pet 6

ALLERGY INFORMATION - Please only enter pets names that have allergies

Rows	Name	Allergies	Food vs Environmental or Both	How is it managed?	Details
Pet 1
Pet 2
Pet 3
Pet 4
Pet 5
Pet 6

In the space below, please list your pet(s) and what medications/supplements they take, if none, please write so. Be sure to include the EXACT TITLE of the medication/supplement and the instructions as written on the prescription label. *

THE ENVIORNMENT

Yard play/within property lines where a physical or electric fence is presentWalk down a driveway/lane/private roadNeighborhood walkWoodsNot Applicable -Cat/Small Animal

Please describe where cleaning materials are located in the home and how you prefer our employees clean up your pets' fecal accidents, urine accidents and vomit? *If there are abnormalities with the appearance of any of the previously listed, the employee will inform you and share media if requested*

KeyElectronic Door CodeGarage Door CodeAlarm code

*The Owner/Walker Team Manager of Purrs and Playin' Paws is only person who will have this information.

YesNo

*Cameras inside of the home and recording devices in general MUST be disclosed to our pet sitters/dog walker at the initial meet and greet.

I understand that it is my obligation as a client to alert the employee of Purrs and Playin' Paws if ANYONE is to be on the property or in the home during the time of service, and to share where audio and visual recording devices are located. The pet sitter reserves the right to decline the visit if they feel uncomfortable or are surprised by a person(s) or devices.If it is discussed ahead of time and/or waivers have been signed the pet sitter is obligated complete the visit.

By signing this I also confirm that I have NOT OMITTED any of my pets including small animals such as fish, birds, hermit crabs, chickens, frogs, lizards, guinea pigs, rabbits, parrots, ETC. Additionally, if there is a NON MENTIONED SMALL ANIMAL/PET the client WILL BE CHARGED APPROPIATLEY per pricing. The company is morally obligated to care for ALL LIVING BEINGS IN THE HOME.

Client Initials*

Are you comfortable with photographs or short videos of your pet being posted to our social media accounts? (Website, Facebook Page and Nextdoor Page). *

Please list the title of your pets REGULAR/PRIMARY CARE Veterinarian's Office. Please include the following: Title of practice, preferred veterinarian, and hours of operation. One field per line. *

Phone Number

Please enter a valid phone number.

Please list the title of your preffered ANIMAL EMERGENCY HOSPITAL. Please include the following: Title of practice, and hours of operation. One field per line. *

Phone Number

Please enter a valid phone number.

Purrs and Playin' Paws Pet Care, LLC is comfortable putting the charge of an emergency/urgent care exam on the company credit card in the event of an urgent matter so that your pet can receive medical attention. The exam fee can range from $65-500. We will also provide the facility with your contact information. It is the veterinary practice's responsibility to contact you as the owner and discuss treatment options. You are required to reimburse the company within 30 days of your pets visit. If no reimbursement is received in this time frame 10% of the exam valuewill be invoiced per week until paid as interest. Please initial below that you understand.

Client Initials*

Please sign that you understand.*

Date*

Date

I have been provided a Service Charging Key Chart *see first page*. I understand that I will recieve an estimate for services once my request is reviewed and all additonal questions that arise post review are answered.

Additionally I understand that if I laspe in service for 12 months + I will move up to the current pricing scale and be considered "A new client".

Client Initials acknowledging both statements above. *

INFORMATION REGARDING BILLING AND INVOICING

You will be provided with an electronic estimate after your request is reviewed, and then a paper copy at the intial household/walker meeting

Do you understand that payment is due within 24 hours of final day of service? Further services will be halted until payment is recieved. *For regular midday clients, payment is sent biweekly every other Friday and due by the following Sunday via PAYPAL or via cash or check on next service date.

Please sign that you understand.*

Did an existing client refer you ? If so, what is their first and last name?

SPECIAL PROGRAMS

"Refur-a-Friend" -- Refur a client to us and enjoy a never ending discount for as long as they are an active client! This is in appreciation for helping our company grow! Friend MUST request service and pay their first invoice before discount is applied.

What is the discount? $6 off your invoice-PER refurral!

*Active client is defined by having utilized Purrs and Playin' Paws Pet Care, LLC's services within the past 12 months.

**Discounts cannot result in a credit

"Sit, Stay, High Fivel" -- For every passing year you stay with the company, you will receive 10% off your invoice. Caps at 90%/9 years. Anniversary month is noted on bottom of estimates.

By signing this form, you have accepted to adhere to all of our charges, policies, and rules of conduct between client and company. If you have any questions, please attn:Owner/Walking Team Manager: Leah K. Jockel at our company email address: admin@purrsandplayinpawspet.com

The Walker Team Manager and Owner -Leah, will be in touch with you soon to ask any additional questions, confirm account creation, and provide an estimate for services!

THANK YOU for your interest in our company. We are a team of animal lovers with a high moral standard. We believe in low stress, fear-free interacting and we cannot wait to open our hearts to your pet(s) and become a loyal friend! If friends make you exercise... We'll see you soon!

Signature*

Date*

Date