Golda’s Happy Paws
Dog Sitting, Client Info and Emergency Contact
Owner Information
Name
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First Name
Last Name
Address
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
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example@example.com
Phone Number
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Please enter a valid phone number.
While I am out of town, I prefer to be contacted by
Please Select
Phone Call
Text
Email
How did you find Golda’s Happy Paws?
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Pet Information
Tell me about your animal(s)
Pet 1: name, age & sex, species, and breed
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Pet 2: name, age & sex, species, and breed
Pet 3: name, age & sex, species, and breed
Pet 4: name, age & sex, species, and breed
Pet 5: name, age & sex, species, and breed
Care Needs
Which services are you interested in?
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Short Term Boarding at Golda's
Overnights in my (the owner + pet’s) home
Board & Train services
Dog Walking and/or Drop In Visits
Cat Sitting
Other
How often are potty breaks needed? How many hours does your dog regularly go between potty breaks?
Please describe your pet's daily exercise needs
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Does your pet have any of the following behavior concerns (check all that apply)
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Jumping on guests
Pulling on the leash
Fear or reactivity to strangers
Fear or reactivity to animals (outside or on leash)
Resource guarding or aggression around food, places, or objects
Bite History
Escape behaviors (from confinement, or property)
None of the above
Other
Please describe in more detail the behaviors you selected above, and how you manage them.
Any other behavioral quirks or concerns I should be aware of?
Does your dog have any medical problems (seizures, arthritis, etc.)?
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Yes
No
If yes, please list and explain any accommodations or support needed
Is your pet on any medications that I will need to administer?
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Yes
No
If yes, please provide the medication(s), dose, and routine
Please list any food restrictions, intolerances, or known allergies
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What is your pet's feeding schedule, and routine? (please include quantity and any additional instructions)
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Where does your pet sleep?
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Where does your dog sleep at night?
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Where does your dog stay when you are not at home? Is your dog crate trained?
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Are there any other tasks you need me to do (ie. watering plants, putting out trash bins)
Emergency Contacts and Vet Information
In the unlikely event of an emergency, I will use need this information to be correct and up to date.
What should I do in the event of an emergency requiring veterinary care? (see emergency policy below for more information)
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Contact me first
Seek immediate veterinary attention
Contact my secondary contact first
What is the best phone number to reach you at, in case of an emergency?
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Please enter a valid phone number.
What is the name of your primary Vet or Vet Clinic?
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Primary Veterinarian's Phone Number
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Please enter a valid phone number.
Primary Veterinarian's Address
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Street Address
City
State / Province
Zip Code
Does your primary veterinarian have 24h emergency hours?
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Yes
No
Secondary Contact: In the event that you cannot be reached, Is there someone I can contact for additional support?
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First Name
Last Name
Secondary Contact Phone Number
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Please enter a valid phone number.
Relationship to you
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Golda’s Happy Paws Policy Agreement
Golda’s Happy Paws and Sitters will endeavor to create a safe and nurturing environment for the care, training, and supervision of my animal(s). The company offers only sound, responsible, and evidence-based training techniques and care instructions. However, I acknowledge that:Liability and Responsibility:Golda’s Happy Paws is not responsible for any unintentional errors, omissions, or incorrect assertions made during the course of care or training.I remain solely responsible for the behavior and actions of my animal(s) at all times, including any injury, damage, or expense caused by my animal(s) while under the care of Golda’s Happy Paws or as a result of following provided training instructions.I agree to indemnify and hold harmless Golda’s Happy Paws from any claims, damages, expenses, or injuries caused by my animal(s).Inherent Risks:I have been informed and understand that owning and interacting with animals involves inherent risks, including but not limited to bites, scratches, property damage, and other potential hazards to myself or others.Emergency Care:In the event I cannot be reached during an emergency, Golda’s Happy Paws has my permission to take any necessary actions to ensure the health and safety of my animal(s), herself, or others.I agree to reimburse Golda’s Happy Paws for any expenses incurred during an emergency, including but not limited to veterinary bills, transportation, pet food, or medical attention for humans or animals.Health and Vaccination Requirements:I confirm that my animal(s) is/are up to date on all vaccinations, parasite prevention, and other necessary health treatments. I will provide documentation of these upon request.I acknowledge that failure to disclose any medical or behavioral issues, including aggressive tendencies or health concerns, may result in termination of services without refund.Behavioral Disclosure:I agree to disclose any known behavioral issues or tendencies, including but not limited to aggression, anxiety, or destructive behaviors, prior to the start of services.I understand that failure to disclose such information may result in the immediate termination of services, and I will be held responsible for any resulting damages or injuries.Cancellation Policy:To avoid being charged a cancellation fee, I agree to provide at least 24-hour notice for cancellations.Cancellations made within the 24-hour window will incur a “last-minute cancellation fee” as per current policies. Exceptions will be considered on a case-by-case basis.Payment Terms:Payment is due prior to or upon the start of services, unless otherwise agreed upon.Late payments may incur additional fees as outlined in the current payment policy.Force Majeure Clause:Golda’s Happy Paws shall not be held responsible for any delay or cancellation of services due to events beyond its control, including but not limited to natural disasters, illness, or other unforeseen circumstances. In such cases, reasonable efforts will be made to reschedule or accommodate the affected services.By checking the box below, I confirm that I have read, understood, and agree to the policies outlined above.
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I agree and acknowledge
Signature
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