Pet Sitting Client Intake Form

Pet Sitting Client Intake Form

Fill out the details below — we’ll reach out through your preferred contact method to confirm or deny your booking.
Owner Information
Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
While I am out of town, I prefer to be contacted by
What dates will you need me?
Pet Information

Tell me about your animal(s)
Pet 1: name, age, species, and breed
Pet 2: name, age, species, and breed
Pet 3: name, age, species, and breed
Pet 4: name, age, species, and breed
Pet 5: name, age, species, and breed
Care Needs
Does your pet have any medical problems (seizures, painful conditions, etc.)?
If yes, please list them and explain any accommodations or support I should provide them.
Is your pet on any medications that I will need to administer?
If yes, please provide the medication(s), dose, and when and how to administer
What is your pet's feeding schedule, and routine? (please include food type, quantity and any additional instructions)
Please list any food restriction or known allergies
Where does your pet sleep?
Where does your pet stay when you are not at home?
Please describe your pet's exercise needs
Does your pet have any of the following behavior concerns? (check all that apply)

Other
Please describe in more detail the behaviors you selected above, and how you manage them.
Any other behavioral quirks or concerns I should be aware of?
Describe a typical 24 hour day for your pet(s)?
Are there any other tasks you need me to do? (Check all that apply)
Emergency Contacts and Vet Information

In the unlikely event of an emergency, I will need this information to be correct and up to date.
What should I do the event of an emergency requiring veterinary care? (see emergency policy below for more information)
What is the best phone number to reach you at, in case of an emergency?
Please enter a valid phone number.Format: (000) 000-0000.
What is the name of your primary Vet or Vet Clinic?
Primary Veterinarian's Number
Please enter a valid phone number.Format: (000) 000-0000.
Primary Veterinarian's Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Does your primary veterinarian have 24h emergency hours?
If No, please list the name, and number of closest 24-hour Emergency vet.
Secondary Contact: In the event that you cannot be reached, Is there someone I can contact for additional support?

First NameLast Name
Secondary Contact Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Relationship to you
Should be Empty:

Pet Sitting Client Intake Form

Owner Information

Pet Information

Care Needs

Emergency Contacts and Vet Information