New Client Intake Form

New Client Intake Form

Request our home and pet care services
Name*

First NameLast Name
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
What is the best way to contact you?*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
How did you hear about us?
Please Select Requested Service Type*

Dog walkingDrop-in visitsOvernight In-Home CareOvernight Care + Mid-Day VisitsPet sitting "By The Hour"
Start Date & Time*
End Date & Time (Leave blank if requesting an on-going service)*
How many pets need care?*

1234 or more
Type of pet(s)?*

DogCatBirdFishReptileRabbitFarm Animals
Pet #1 information
Name*
Breed*
Age*
Is your pet spayed or neutered? Y/N*

YesNo
Pet #2 information
Name
Breed
Age
Is your pet spayed or neutered? Y/N

YesNo
If you have additional pets, please list their names, age, and if they are spayed/neutered, and physical description here.
Vaccinations

We respect that pet vaccinations are a matter of personal choice for every pet owner. However, to maintain a safe and healthy environment for all the pets we care for and our sitters, we will require a copy of your pet's vaccination records BEFORE we can schedule a meet and greet.
Are you able to provide pet vaccination records?*

YesNo
Please select any that apply to your pet(s)

NOT neutered or spayedNOT current on vaccinationsOn medicationFood aggressionReactive with other pets or animalsStranger aggressionHas accidents inside"Chewer""Barker"Pulls on leashMay attempt to escape"Counter-surfer"
If you checked any of the above boxes, please specify the pet's name and provide additional details below.
Is your pet(s) house trained?*

YesNo
Is your dog(s) leash trained?

YesNo
Does your pet(s) respond to basic commands like "Sit, Stay, Lie down, Come, Leave it"?

YesNo
Is your pet(s) Kennel Trained?

YesNo
If you checked "no" for any of the above boxes, please specify the pet's name and provide additional details below.
How long can your pet(s) be left alone for at a single given time?*

1-2 hours3-4 hours4-8 hoursUp to 12 hours
Does your home have a fenced yard?*

YesNoInvisible FenceOther
Do you need plant or garden care?*

YesNo
Please BRIEFLY describe your pet's daily routine (we can dive into specifics during our meet and greet)
Any additional information that you would like us to know?
Schedule a Meet and Greet

We provide a free 30-minute consultation for new clients to meet you and your pets. A consultation is required before services can be booked. Please provide 2 dates that you are available for a meet and greet.
Preferred time
Date

MonthDayYear
Date
Hour MinutesAM/PM Option
Back-up time
Date

MonthDayYear
Date
Hour MinutesAM/PM Option
Should be Empty:

New Client Intake Form

Pet #1 information

Pet #2 information

Vaccinations

Schedule a Meet and Greet

Preferred time

Back-up time