Pet Sitting Pet Form

Jolly Paws Cottage LLC

Pet Information Form
Client Name*

First NameLast Name
Pet Name:*
Breed:*
Approximate Date of birth*

MonthDayYear
Sex*

MaleFemale
Spayed or Neutered:*

YesNoNo - my pet is currently too young
Color:*
Age:*
Feeding Instructions
Please give detailed instructions on how to feed your pet.*
Type of food, amount of food, times per day, time of day, free feed, etc
Does your pet need to be fed apart from other pets?*

YesNo
Water Instructions
Type of water, limitations, etc.
Special Instructions for Treats*
Type, amount, after command, apart from other pets, etc.
Does your pet have food allergies or restrictions?*

YesNo
List food allergies/restrictions
Does your pet receive medications? No need to include monthly preventative medications.*

YesNo
Medication Instructions
Name of med, application type, amount, frequency/time, etc.
Describe your pets daily routine.*
Crated or free to roam indoors or outdoors, number of hours left alone, wake time, bedtime, etc.
Where is your pet accustomed to sleeping?*
Crate, dog bed on floor, in owners bed, outdoors, etc.
Does your pet use a doggie door, potty pad, or need to be let outside during the night?*
Can your pet share a kennel with your other family pets?*

YesNoN/A
What type of activities does your pet enjoy doing?*
Favorite Toys:
Please let us know any of the following your pet does NOT like.*

BathsNail trimsLoud noiseThunderPeople or other pets near treatsPeople or other pets near food dishPeople or other pets near water dishTaking medicationPetting hind endPetting near the headNew or strange animalsTouching earsTouching pawsOther family petsStrangersNone of the aboveOther
Please let us know how your pet reacts to any of the above.*
If this question does not apply to your pet please type N/A.
Has your pet ever done any of the following?*

Attacked and/or bit someoneAttacked and/or bit another animalEscaped from homeInjured self out of boredom/fearN/A
Please describe the incident(s) even if mild or under extreme or unusual circumstances.
Does your pet have any ongoing, reoccurring, or previous known illnesses and/or injuries? Is your pet undergoing any medical treatments?*

YesNo
If yes please explain in detail.
Has your pet been diagnosed with allergies?*

YesNo
If yes please list what type pf allergies below.*
What type of symptoms does your pet exhibit and how do you treat the allergy?*
Please let us know what temperament and personality describes your pet. Check all that apply.*

CalmSweetLovingCuddlyAgressiveHyperShyScaredTimidRelaxedEasy GoingPushySuspicousAloofFearfulLazyJealousTrustingOther
Any other information you would like us to know about your pet.
This form was prepared by:*

First NameLast Name
Date*

MonthDayYear
Hour MinutesAM/PM Option
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Signature of person preparing form:*

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Jolly Paws Cottage LLC

Feeding Instructions