New Client Form

New Client Form

Please complete one form per pet
Referral Information
How did you hear about Pawesome Pet Sitting?

Other
Friend’s name
Owner Information
Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState

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
Do you have a concession or seniors card? (You may be eligible for a discount on your booking)
Pet Information

Tell me about your pet
Pet name
Type of pet

Other
Breed
Date of birth (or approximate age if DOB unknown)
Does your pet have any medical problems (anxiety, 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?
Please provide the medication(s), dose, and when and how to administer
What is your pet’s feeding schedule? (check all options that apply)

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?

Other
Please list any commands you use with your pet
Does your pet have any of the following behaviour concerns (check all that apply)

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?
What is the name of your vet clinic?
Vet’s phone number
Vet’s address

Street Address

Street Address Line 2

CityState / Province

Post code
Secondary Contact: In the event that you cannot be reached, who can I can contact for additional support?

First NameLast 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?

Other
Please tick the additional tasks you would like me to complete during my stay

Other
What night is bin night?
Would you like me to strip the bed prior to leaving?
Do you have any security camera’s and/or alarm

Other
Will I be able to use your wifi during my stay?
If I am required to be at home during the day, is there an area for me to work from home?
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
I understand that if any of the information changes I will inform Pawesome Pet Sitting prior to the commencement of the job
I consent to photos of my pet being taken and used for advertising purposes for Pawesome Pet Sitting
By signing this form you agree that you have provided true and correct information
Should be Empty:

New Client Form

Referral Information

Owner Information

Pet Information

Emergency Contacts and Vet Information

Household information

Acknowledgments and consent