New Client Form
Please complete one form per pet
Referral Information
How did you hear about Pawesome Pet Sitting?
Social Media (Facebook or Instagram)
Google
Friend
I’m already a client
Other
Friend’s name
Owner Information
Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State
Postcode
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: 0000 000 000.
While I am out of town, I prefer to be contacted by
*
Text message
Phone call
Facebook Messenger
Email
Do not contact me unless there is an emergency
Do you have a concession or seniors card? (You may be eligible for a discount on your booking)
*
Yes
No
Prefer not to disclose
Pet Information
Tell me about your pet
Pet name
*
Type of pet
*
Dog
Cat
Bird
Guinea Pig
Rabbit
Other
Breed
Date of birth (or approximate age if DOB unknown)
*
Does your pet have any medical problems (anxiety, seizures, painful conditions, etc.)?
*
Yes
No
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?
*
Yes
No
Please provide the medication(s), dose, and when and how to administer
What is your pet’s feeding schedule? (check all options that apply)
*
Morning
Lunch
Night
Grazes throughout the day
Other
What is your pet's feeding routine? (please include food type, quantity and any additional instructions)
*
Please list any food restriction or known allergies
Where does your pet sleep?
*
Please describe your pet's exercise needs
*
Does your pet require someone to be at home during the day?
*
Yes
No
I would prefer to discuss this at the meet and greet
Other
Please list any commands you use with your pet
Does your pet have any of the following behaviour concerns (check all that apply)
*
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)
None of the aboe
Other
Please describe in more detail the behaviours you selected above, and how you manage them
Provide details of any other behavioural quirks or concerns I should be aware of, or any other information about your pet you would like to share
Emergency Contacts and Vet Information
What should I do the event of an emergency requiring veterinary care?
*
Contact me first
Seek immediate veterinary attention, then contact me
Contact my secondary contact first
What is the name of your vet clinic?
*
Vet’s phone number
Vet’s address
*
Street Address
Street Address Line 2
City
State / Province
Post code
Secondary Contact: In the event that you cannot be reached, who can I can contact for additional support?
*
First Name
Last Name
Secondary Contact Phone Number
*
Please enter a valid phone number.
Format: 0000 000 000.
Relationship to you
*
Household information
Where should I park during my stay?
*
Street parking
Driveway
Garage
Other
Please tick the additional tasks you would like me to complete during my stay
*
Checking the mail
Putting the bins out/bringing them in
Watering plants
No additional tasks
Other
What night is bin night?
Would you like me to strip the bed prior to leaving?
*
Yes
No
Not applicable
Do you have any security camera’s and/or alarm
*
Alarm
Security Camera (inside)
Security Camera (outside)
Not Applicable
Other
Will I be able to use your wifi during my stay?
*
Yes
No
If I am required to be at home during the day, is there an area for me to work from home?
*
Yes - fully equipped
Yes - you will need to supply your own equipment
No
I would prefer to discuss this at the meet and greet
Not required to be home during the day
Please provide details of any other household information I should be aware about (including if you have any services booked during the stay)
Note: Whilst this is a secure platform, in case of a data breach I request you do not provide details of where you will leave a key, or a code to get in. These will be discussed in person.
Acknowledgments and consent
I have read and agreed to the terms and conditions listed on the Pawesome Pet Sitting website
*
Yes
I understand that if any of the information changes I will inform Pawesome Pet Sitting prior to the commencement of the job
*
Yes
I consent to photos of my pet being taken and used for advertising purposes for Pawesome Pet Sitting
*
Yes
No
By signing this form you agree that you have provided true and correct information
*
Continue
Continue
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