Josie's Pet Sitting Waiver Form

Josie's Pet Sitting Waiver Form

Insured/ licensed
Name*

First NameLast Name
Email*
example@example.com
Phone Number*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Emergency Contact:

If in the event of an emergency and I am unable to reach you (the owners of the pet) please leave an emergency contact below.
Name
Phone number
Alternate Contact Person:
Phone number
Veterinary Information
Veterinary name:
Veterinary phone number:
Permission to Seek Veterinary Care: Josie's Pet Sitting will cover the initial cost of veterinary services, which will then be reimbursed by the dog's owner.

YesNo
Pet Information
Pet Name(s):*
Breed(s)*
Age(s)
Feeding instructions
Any allergies
Medications
Does pet have a bite history

YesNo
Has pet ever shown agression to humans

YesNo
Does pet have a tendency to try to escape the home/yard

YesNo
Dog walking clients only: Does the dog have reactivity on walks, if yes what are the triggers, what are the dogs general behaviors on a walk.
Anything else you’d like to add?
Duration of service
Start Date

MonthDayYear
Date
End Date

MonthDayYear
Date
Service Type (check all that apply):*

Daily VisitsOvernight StaysDog WalkingPet TransportationFeedingMedication AdministrationOther
If you choose Dog walking, feeding, or drop in visits how long would you like this service?

1/2 hourOne hourtwo hours
I acknowledge and agree with the total amount reflected on my invoice, and I understand that a 50% deposit is required prior to booking to reserve my appointment.*

YesNo
Payment Method:*

CashZellePayPalCheckVenmo
Cancellation Policy: Cancellations must be made at least **3 days** in advance for a full refund of the deposit. Cancellations made **less than 72 hours**before the scheduled service will result in forfeiture of the deposit.*

I agreeI disagree
Late Fees: A late payment fee of **$25** will be applied if payment is not received within 3 days of service completion.*

I agreeI disagree
Home Care

At Josie’s Pet sitting, I always make sure I go the extra mile for my clients and any light house work that needs to be done.
When is your trash day?
Do you give consent to grab your mail. ( Josie will put all mail on the counter)

YesNo
Any plants or garden beds that need tending
If you’re are ok with me using the Wifi what is the password etc
After overnight care how do you prefer I handle the bedding (do you want to do it yourself or do you want me to strip the bed and place in the washing machine, etc)
Access instructions (do you want me to go through a gate, a side door, is there an alarm system etc)*
Liability Waiver
The client agrees to hold **Josie Pet Sitting Service** not liable for any injury or damage caused by the pet(s) during the course of care. **Josie Pet Sitting Service** will take all necessary precautions to ensure the safety and well-being of the pet(s). The client also acknowledges that they are responsible for any veterinary expenses incurred as a result of injury or illness during the service period.

Josie Pet Sitting is a verified through Time to Pet insurance company
Client Agreement: I, the undersigned, agree to the terms outlined in this contract for the pet sitting services provided by **Josie Pet Sitting Service**.*

YesNo
Do you give consent to me using pictures of your pets on my social media or website or marketing materials*
Please sign and date
Date*

MonthDayYear
Date
Signature*

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Josie's Pet Sitting Waiver Form

Emergency Contact:

Veterinary Information

Pet Information

Duration of service

Home Care

Liability Waiver

Please sign and date