Pre-Meet Intake Form
It takes a village to raise healthy pets!🐾
Pet Details
Pet's Name
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Age
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Pet Type (dog or cat)
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Dog
Cat
Breed Type
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Weight
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Gender
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Male
Female
How many times per day do you prefer daily updates? (once a day, twice a day or three times a day, etc.)
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Service Type
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🌙 Boarding (Overnight care at sitter’s home:) For traveling or when you'll be away overnight.
🏡 Daycare: (at sitter’s home:) For busy days, errands, work or a night out.
Preferred Drop-Off Date & Time. (Please select your preferred dates and times for your pet's stay. This is not a confirmed booking. Availability will be reviewed and confirmed after your Meet & Greet or after completion of this form.)
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Preferred Pick-Up Date & Time. (Please select your preferred dates and times for your pet's stay. This is not a confirmed booking. Availability will be reviewed and confirmed after your Meet & Greet or after completion of this form.)
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Note: If you require an early morning or late-night drop-off / pick-up (before 5:00 AM or after 11:50 PM), please mention the requested time in the section below. If the time you're requesting isn't shown above, please mention it below. Availability must be approved in advance. Type N/A if this doesn't apply to you.
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What is your pet's feeding schedule, and routine? (please include food type, feeding times, portion sizes and any special instructions).
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Describe your pet's potty schedule (please include how many times per day and how often they need potty breaks. For example: every 2-3 hours or 4-6 hours, etc.)
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Please list any food restriction or known allergies.
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Where does your pet sleep? (Crate, bed, floor)
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If your pet needs to be crated or confined, how do they react?
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Bathing instructions (if applicable) please provide any special bathing instructions, including shampoo preferences, skin sensitivities, or areas to avoid. Baths are only provided if the pet tolerates them comfortably.
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Please describe your pet's exercise needs
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Car Travel: Crated, Loose, Harnessed, Carrier
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Commands Known: Sit, Stay, Come, Heel, Other
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What activities does your pet enjoy the most? Playing fetch, going for walks, snuggling, playing with toys, tug-of-war, etc.
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Does your pet have any favorite snacks or treats? (Please list, and note any restrictions or brand names if important.)
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Is your pet currently under medication?
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Yes
No
If yes, please specify the name and purpose of medication. If no, type N/A.
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Is there anything else that helps your pet feel comfortable or makes their stay easier?
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Restrictions (no off-leash, no dog parks, etc.)
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House-trained: (Yes, No)
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If your pet requires urgent veterinary care, are there specific instructions or preferences we should follow?
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Is this your dog’s first time with a sitter? (If no, how many times and how recent?)
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Does your pet have any known medical conditions? If no, type N/A.
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How does your pet feel around children?
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Very comfortable
Somewhat comfortable(with supervision)
Not comfortable
Unsure
Has your pet been around children often?
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Yes, regularly
Occasionally
Rarely
Never
Does your pet have any of the following behavior concerns (check all that apply)
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Fear or reactivity to strangers
Fear or reactivity to animals (outside or on leash)
Resource guarding or aggression around food, places, or objects
Escape behaviors (from confinement, or property)
Has your dog ever bitten a person/animal?
Aggression shown (growling, snapping, guarding)
uncomfortable around: (Other dogs, cats, children, strangers)
Separation Anxiety
Fears/triggers (fireworks, car rides, loud noises, thunder, etc.)
None of the above
Other
Please describe in more detail the behaviors you selected above, and how you manage them. If none, type N/A.
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Any other behavioral quirks or concerns we should be aware of?
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Describe a typical 24 hour day for your pet(s)
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How does your pet behave when left alone? Any separation anxiety behaviors we should be aware of? (whining, pacing, destructive chewing, etc?)
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Spayed/Neutered Status (check one)
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Yes – My pet is spayed/neutered
No – My pet is not spayed/neutered
Is your female pet currently in heat or has she been in heat within the past 2 weeks?
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Yes
No
Not applicable (male dog/cat)
Is your female pet currently pregnant?
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Yes
No
N/A
Is there anything else you would like for us to know?
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Pet Owner Details
Name
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First Name
Last Name
Phone Number
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Please enter a valid phone number.
Format: (000) 000-0000.
Email
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example@example.com
Address
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Emergency Contact
In the unlikely event of an emergency, I will need this information to be correct and up to date to ensure the safety and well-being of your pet.
Emergency Contact: In the event that you cannot be reached, Is there someone I can contact for additional support?
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Yes
No
Emergency Contact Person Name. If no, type N/A.
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First Name
Last Name
Relationship
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Emergency Contact Person Phone Number
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Please enter a valid phone number.
Format: (000) 000-0000.
Is there someone who will pick up the pet other than you?
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Yes
No
If yes, please provide their name. If no, type N/A.
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First Name
Last Name
What is their phone number?
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Please enter a valid phone number.
Format: (000) 000-0000.
Relationship
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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 before seeking care
Seek immediate veterinary care, then contact me
Contact my emergency contact first
Authorize immediate veterinary care without prior contact
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.
Format: (000) 000-0000.
Veterinary Details
In the unlikely event of an emergency, I will need this information to be correct and up to date to ensure the safety and well-being of your pet.
Name of Veterinary Clinic
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Veterinary Clinic Location
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Street Address
Street Address Line 2
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City
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State / Province
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Postal / Zip code
Veterinary Clinic Phone Number
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Please enter a valid phone number.
Format: (000) 000-0000.
Last Date of Clinic Visit?
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Month
-
Day
Year
Date
Does your primary veterinarian have 24-hour emergency hours?
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Yes
No
Please provide the name & number of the closest 24-hour emergency vet. If none, type N/A.
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Dog Vaccination Confirmation
Legally required core vaccines
Is Vaccination completed?
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Yes
No
Core Vaccinations (Required, check all that apply)
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Rabies
DAPP/DHPP
Bordetella
Leptospirosis
All of the above
None of the above
Other
Last Date of Rabies
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Month
-
Day
Year
Last Date of DAPP/DHPP
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Month
-
Day
Year
Recommended for Group Settings
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Bordetella
No Bordetella
Last Date of Bordetella
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Month
-
Day
Year
Parasite Prevention (Required, check all that apply)
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Flea/Tick Prevention
Deworming
Heartworm Prevention
All of the above
None of the above
Other
Other (please specify)
Last Date of Flea/Tick
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Month
-
Day
Year
Last Date of Heartworm Prevention
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Month
-
Day
Year
Last Date of Deworming
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Month
-
Day
Year
Cat Vaccination Confirmation
Legally required core vaccines
Is Vaccination completed?
Yes
No
Core Vaccinations (Required, check all that apply)
Rabies
FVRCP
Bordetella
All of the above
None of the above
Other
Optional / Recommended for Some Cats
FeLV (Feline Leukemia)
No
Parasite Prevention (Required, check all that apply)
Flea/Tick Prevention
Deworming
Heartworm Prevention
All of the above
None of the above
Other
Other (please specify)
Last Date of Rabies
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Month
-
Day
Year
Last Date of FVRCP
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Month
-
Day
Year
Last Date of FeLV (Feline Leukemia)
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Month
-
Day
Year
Last Date of Flea/Tick Prevention
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Month
-
Day
Year
Last Date of Deworming
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Month
-
Day
Year
Last Date of Heartworm Prevention
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Month
-
Day
Year
Proof of Vaccination/Prevention
Owner’s Acknowledgment
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I will provide a copy/photo of my pet’s vaccination and prevention records.
Owner’s Certification
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I certify that the information above is true and accurate to the best of my knowledge. I understand that providing false or incomplete information may impact the care, safety and well-being of my pet.
Raising Paws Pet Care Agreement
Raising Paws will make every reasonable effort to provide a safe, loving, and responsible environment for the care of your pet(s). While every precaution is taken to ensure the safety and well-being of all pets in our care, the pet owner understands that animals can be unpredictable and accepts the inherent risks associated with pet care. By submitting this form, you acknowledge that you remain responsible for your pet’s behavior and actions at all times. You agree to indemnify and hold harmless Raising Paws and its owner, Johnnise, from any claims, damages, injuries, expenses, or liabilities caused by your pet while in the care of Raising Paws. Emergency Veterinary Care: In the event of a medical emergency, Raising Paws will make every reasonable effort to contact you immediately. If you cannot be reached, you authorize Raising Paws to seek veterinary care for your pet if it is deemed necessary for their health and safety. You agree to be fully responsible for any veterinary expenses, medical treatments, or related costs incurred for your pet during their stay. Payment Policy: For new clients, a $20 non-refundable deposit is required at the time of booking to reserve your pet’s stay. The remaining balance is due 24 hours prior to the start of services. Accepted payment methods include: Cash App, Zelle, and Cash. Bookings are not confirmed until payment has been received. No Refund Policy: All payments made to Raising Paws are non-refundable. Payments are required to secure your pet’s reservation and are non-refundable once the booking has been confirmed. Refunds will only be issued if Raising Paws cancels the booking. Early pick-ups, schedule changes, or cancellations by the pet owner do not qualify for refunds. Raising Paws reserves the right to verify client identity, By booking, you agree to provide valid identification and any necessary documents for verification purposes. Agreement: By signing the box below, you acknowledge that you have read, understood, and agree to the Raising Paws policies and terms of service.
Agreement & Electronic Signature (By signing below, I confirm that I have read and agree to the Raising Paws Pet Care Agreement and policies. I understand that this electronic signature is legally binding and has the same effect as a handwritten signature. I certify that the information provided in this form is accurate and complete to the best of my knowledge.)
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