Care Request
This form is for existing clients only. If you are new, please fill out a new client registration/application first.
Owner Information
Owner's Name
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
E-mail
*
example@example.com
Emergency Contact
This should be a person who will be in town while we are caring for your pet.
Contact Name
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
What type of care are you needing to schedule?
*
Daycare
Boarding
Walk
Adventure/Hike
Drop-In Visits
In-Home Pet Sitting
What type of animal do you need care for?
*
Dog
Cat
Dog's Information
Dog's Name(s)
*
Cat's Information
Cat's Name(s)
*
Daycare Details
(10% Discount for 5+ consecutive days, prepaid)
What dates are you needing daycare for?
*
Drop-Off Time
*
Hour Minutes
AM
PM
AM/PM Option
Pickup Time
*
Hour Minutes
AM
PM
AM/PM Option
Boarding Details
(10% discount for 14+ days, prepaid)
Drop-Off Date
*
-
Month
-
Day
Year
Date
Drop-Off Time
*
Hour Minutes
AM
PM
AM/PM Option
Pick-Up Date
*
-
Month
-
Day
Year
Date
Pick-Up Time
*
Hour Minutes
AM
PM
AM/PM Option
Walk Information
(10% Discount for 5+ consecutive days, prepaid)
What dates are you needing walks for?
*
How many walks per day?
*
0
1
2
3
4
Walk
*
Hour Minutes
AM
PM
AM/PM Option
Walk 2
*
Hour Minutes
AM
PM
AM/PM Option
Walk 3
*
Hour Minutes
AM
PM
AM/PM Option
Walk 4
*
Hour Minutes
AM
PM
AM/PM Option
Hike/Adventure
Are you interested in our next group hike, or a solo hike?
*
Group
Solo
Either
Drop-In Visits
What dates are you needing drop-ins for?
*
Will we need a house key for this visit?
*
Yes
No
How will we access the home?
*
How will you get the key to us?
*
Leave somewhere outside of the home
Drop-Off to our staff
You already have our key!
Where will you leave the key?
*
When would you like to drop off the key?
*
How would you like to get the key back from us?
*
Leave at the home
Pick-up from our staff
Keep the key for next time!
Where would you like us to leave your key?
*
When would you like to pick your key up from us?
*
How many drop-ins per day?
*
0
1
2
3
4
Drop-In
*
Hour Minutes
AM
PM
AM/PM Option
Drop-In 2
*
Hour Minutes
AM
PM
AM/PM Option
Drop-In 3
*
Hour Minutes
AM
PM
AM/PM Option
Drop-In 4
*
Hour Minutes
AM
PM
AM/PM Option
In-Home Pet Sitting
10% discount for 14+ days, prepaid.
Start Date
*
-
Month
-
Day
Year
Date
Start Time
*
Hour Minutes
AM
PM
AM/PM Option
End Date
*
-
Month
-
Day
Year
Date
End Time
*
Hour Minutes
AM
PM
AM/PM Option
Will we need a house key for this visit?
*
Yes
No
How will we access the home?
*
How will you get the key to us?
*
Leave somewhere outside of the home
Drop-Off to our staff
You already have our key!
Where will you leave the key?
*
When would you like to drop off the key?
*
How would you like to get the key back from us?
*
Leave at the home
Pick-up from our staff
Keep the key for next time!
Where would you like us to leave your key?
*
When would you like to pick your key up from us?
*
Add-on's
Will you need pickup or drop off for your pet? Only offered within Bakersfield. If you live further, please reach out directly to discuss cost.
*
Yes Please! - Pickup only ($15)
Yes Please! - Drop off only ($15)
Yes Please! - Both pick up and drop off ($25)
No Thanks - I will be picking up and dropping off my pet
Any add-on's during your pet's stay?
*
None
Provide Kibble ($2/day)
Provide Raw Diet ($6/day)
Medication administration ($1/dose)
Nail Trim ($15)
Bath ($20-$60)
Extra Walk ($10 per extra walk per day)
Hike ($50 per group trip)
Training (please reach out to give information and get pricing, depending on your dog's needs)
Possible discounts...
Senior citizen, 65+ (ID required)
Veteran (ID required)
I will provide my dog's crate that they are used to!
Special Requests or Notes
Care Contract
All pets are boarded, bathed or otherwise cared for without liability for loss or damage from illness, injury, death, escape, theft, fire or other unavoidable causes. You, the pet owner, are responsible for all costs for any property damage or injury to persons or other animals by your pet.
We post photos and videos of all animals in our care to public platforms.
We at The Animal Law take pride in caring for your pet. All precautions are taken to limit the
possibility of illness or injury to pets in our care. However, if your pet is ill or injured we will:
1) attempt to contact you as soon as possible;
2) consult your designated veterinarian whenever possible;
3) seek care at Affiliated Emergency Veterinary Services, if needed, at times outside normal veterinary hours.
Any incurred vet charges are to be paid by you, the pet owner.
As a condition of this contract, you authorize the release of your pet’s vaccination and medical information to The Animal Law, at any time prior to, during, or after the performance of
services.
When using The Animal Law for boarding or any other services you agree to pay for all services rendered upon completion of service. Any stays longer than 10 days are required to have a 50% deposit. Please do not abandon unwanted pets at our facility.
You will be expected to cover all charges incurred from leaving a pet indefinitely. California statutes provide us the right to rehome any pet that has stayed ten or more days beyond the designated date of pick up if there is no contact from the owner and no payment for the pet's stay.
This contract shall be considered in effect each time the pet owner requires the services of The Animal Law for this pet or any other future pet(s).
Emergency Veterinary Care Directive
*
Pursue any diagnostic tests and extraordinary measures offered by the treating veterinarian
Pursue any diagnostic tests and extraordinary measures offered by the treating veterinarian as long as my pet is likely to recover its previous quality of life.
I do not want extensive diagnostic tests or any extraordinary measures taken.
I understand The Animal Law will insist my pet be kept comfortable with pain control and hydration until I can be reached. I am solely responsible for providing emergency contact information on each visit. Only I can decide to euthanize my pet. If I know I cannot be reached, it is my
responsibility to provide further written instructions for veterinary care.
If possible, keep veterinary expenses under $
300 minimum
*
until I can be reached.
Signature
*
Today's Date
*
-
Month
-
Day
Year
Date
Submit
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