Your Contact Information
Please fill out as much or as little as you'd like. All required fields are noted 🙂
Pet Parent
*
First Name
Last Name
What do you call yourself for your pets
*
For example, I'm Mama to Mr B
Address
*
Phone
Format: (000) 000-0000.
Email
example@example.com
Pet Co-Parent
First Name
Last Name
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
How would you like to receive confirmations and reminders for services?
*
Email
Text
Both
What is your preferred method of contact?
*
Text
Email
Facebook Messenger
Instagram Messages
Other
Would you like receipts when your payment has been processed?
No
Yes, Text
Yes, Email
Were you referred by anyone?
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Your Pet
The only fields I definitely need are name and vaccination status, plus age in months for any puppies, and any allergies, medical, or behavioural info. Everything else is optional! 🙂
Name of Pet
*
Nicknames your pet likes
For example, I call Mr be Squiggs 🤷🏼♀️
Animal or breed
Age
Please specify if months for puppies under 1 year
Weight
Are they fully vaccinated?
*
Yes
No
If 'no', when should they be?
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Are they spayed or neutered?
Yes
No
Other
Behaviour notes, Medical Conditions, Allergies
Do you have another pet in the house
*
Yes
No
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Pet 2
The only fields I definitely need are name and vaccination status, plus age in months for any puppies, and any allergies, medical, or behavioural info. Everything else is optional! 🙂
Name of Pet
*
Nicknames your pet likes
For example, I call Mr be Squiggs 🤷🏼♀️
Age
Please specify if months for puppies under 1 year
Breed or Animal
Weight
Are they fully vaccinated?
*
Yes
No
If 'no', when should they be?
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Are they spayed or neutered?
Yes
No
Other
Behaviour notes, Medical Conditions, Allergies
Do they require care?
Yes
No
Minimal
Nicknames your pet likes
For example, I call Mr be Squiggs 🤷🏼♀️
Do you have another pet in the house?
*
Yes
No
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Pet 3
The only fields I definitely need are name and vaccination status, plus age in months for any puppies, and any allergies, medical, or behavioural info. Everything else is optional! 🙂
Name of Pet
*
Nicknames your pet likes
For example, I call Mr be Squiggs 🤷🏼♀️
Breeds
Age
Please specify if months for puppies
Weight
Are they fully vaccinated?
*
Yes
No
Are they spayed or neutered?
Yes
No
Other
If 'no' when should they be?
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Behaviour notes, Medical Conditions, Allergies
Do they require care?
Yes
No
Minimal
Do you have another pet in the house?
*
Yes
No
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Pet 4
The only fields I definitely need are name and vaccination status, plus age in months for any puppies, and any allergies, medical, or behavioural info. Everything else is optional! 🙂
Name of Pet
*
Nicknames your pet likes
For example, I call Mr be Squiggs 🤷🏼♀️
Breeds
Age
*
Please specify if months for puppies under 1 year
Weight
Are they fully vaccinated?
*
Yes
No
If 'no', when should they be?
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Are they spayed or neutered?
Yes
No
Other
Behaviour notes, Medical Conditions, Allergies
Do they require care?
*
Yes
No
Minimal
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Misc
Is there anything else I should be aware of that I haven’t covered?
Is there anything else you'd like me to know to ensure your pets are as comfortable and stress-free as possible?
How do I access your home for care?
Key
Code (door, garage, etc)
Someone will be home
I'll leave a door unlocked
Other
Would you be comfortable with Mr B (my dog) accompanying me during care?
Please Select
Yes
No
Possibly with more information
If you're open to it, we'll ensure a proper introduction so everyone feels comfortable. If this isn’t something you're comfortable with, that's perfectly okay! Note: this would only happen on longer or on reoccurring visits.
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Health and Safety
Vet
*
Address
Phone
Format: (000) 000-0000.
Emergency Contact
Relationship
Phone
Format: (000) 000-0000.
EMERGENCY AUTHORIZATION
Are there any allergies in your household (human or pet) that I should be aware of when bringing treats?
*
There are no known allergies, it is safe to feed my pets treats with peanut butter.
There are people with peanut allergies. Please do not feed my pets treats with peanut butter.
There are other major allergies in the household (please specify).
Please specify other household allergies:
In case of an emergency, I authorize Bear Hugz PetCare to take my pet to the veterinarian if necessary, and agree to cover any expenses incurred during the visit.
*
Agree
Disagree
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Photos and Updates
Photo Updates: How often would you like updates of your pet?
*
Lots of Photo Updates - Enjoy frequent photo updates during my time with your pet.
Photo Updates Once Per Day/Visit - Get a photo update after each visit or walk, or once daily for extended care.
Occasional Photo Updates - Receive a few photos over the course of the service.
No Photo Updates - Skip photo updates altogether.
Photo Release: Do you consent to photos of your pet being used for business purposes (e.g., social media, marketing materials)?
*
Yes - I consent to my pet’s photos being used for business purposes.
No - I do not consent to my pet’s photos being used for business purposes.
*
I confirm that all the details provided here are accurate to the best of my knowledge.
Submit
Should be Empty: