Fancy Pawz Pet Sitting & Dog Walking, LLC
Columbus, New Jersey • 609-819-6828
Client Intake & Information Form
Client Information
Client Name:
Phone Number:
Format: (000) 000-0000.
Email Address:
example@example.com
Home Address:
Key Location:
Door Code:
Garage Code:
Pets in Household
Pets in Household
Rows
Name
Species
Breed
Age
Sex
1
2
3
4
5
6
7
8
Care & Feeding Instructions
Feeding Schedule:
Food Type / Brand:
Portion Size:
Food Location:
Special Feeding Instructions:
Allergies:
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Medication Information
Medication / Dosage / Schedule:
Medication / Dosage / Schedule:
Medication / Dosage / Schedule:
Medication / Dosage / Schedule:
Tell Us About Your Pet & Their Preferences
Daily Routine / Potty Schedule:
Favorite Toys / Activities / Enrichment:
Temperament / Personality:
Comfort Level With New People:
Leash Reactivity (dogs, people, bikes, etc.):
Prey Drive / Chasing Instincts:
Will ingest rocks, mulch, sticks, or yard debris:
Has your dog bitten anyone?
No
Yes
If yes, please explain:
Yard & Property Access
Fence Yard Access:
Yes
No
Are there landscapers or lawn services that visit the property?
Yes
No
Landscaping Company (if known):
Day(s) They Maintain the Yard:
Approximate Timeframe They Arrive:
Should pets be kept indoors during yard maintenance?
Yes
No
Special Instructions During Yard Maintenance:
Veterinary Information
Primary Veterinarian Clinic:
Primary Vet Phone:
Format: (000) 000-0000.
Preferred Emergency Vet Clinic:
Emergency Vet Phone:
Format: (000) 000-0000.
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Emergency Contacts
Emergency Contacts
Rows
Name
Phone / Relationship
Local Emergency Contact
Family / Secondary Contact
Allergic Reaction Authorization
I authorize Fancy Pawz Pet Sitting & Dog Walking, LLC to administer Benadryl in the event of an allergic reaction. We will attempt to contact the client prior to administration whenever possible.
Client Initials:
Emergency Veterinary Care – Vacation Clients Only
In the event of a veterinary emergency while the client is away we will attempt to contact the client immediately. Pets may be transported to the client's primary veterinarian, preferred emergency veterinary clinic, or the nearest emergency veterinary clinic. If we must remain at the clinic, transport the pet, or provide aftercare supervision a charge of $25 per hour will be incurred capped at eight hours per day until other arrangements can be made.
Client Initials:
Payment Information
Accepted forms of payment: Cash, Check, Zelle, and Venmo. For vacation pet sitting services booked for 7 days or more a $250 deposit is required to reserve your booking. The remaining balance must be paid within 24 hours of the scheduled return date.
Client Initials:
Cancellation Policy
Bookings cancelled 10 days or less prior to the scheduled start date will incur a $75 non-refundable cancellation fee.
Client Initials:
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Holiday Visit Policy
Holiday visits incur an additional $5 per visit. Holiday rates apply to the day before, the day of, and the day after the holiday especially when holidays create extended weekends.
Client Initials:
Peak Holiday Booking Policy
Holiday periods are high-demand times and availability is limited. Bookings are scheduled on a first-come first-served basis.
Client Initials:
Last-Minute Holiday Requests
Holiday visits requested within 48 hours are subject to availability and may not be guaranteed.
Client Initials:
Home Access / Lockout Policy
Clients must provide working keys, door codes, or other access instructions. If access cannot be obtained a service fee may be charged for the visit attempt.
Client Initials:
Inclement Weather & Safety Policy
Visit times may be adjusted during severe weather conditions such as snow, ice, storms, flooding, or extreme temperatures.
Client Initials:
Aggression / Bite Liability Policy
Clients must disclose any history of aggression or biting. Fancy Pawz Pet Sitting & Dog Walking reserves the right to terminate services if a pet poses a safety risk.
Client Initials:
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Services & Pricing
Service Type:
Notes:
Client Authorization & Signature
I authorize Fancy Pawz Pet Sitting & Dog Walking, LLC to provide pet care services and seek veterinary care in the event of an emergency if I cannot be reached. I also allow social media use of photos of my pet.
Client Name:
Signature:
Date:
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Month
-
Day
Year
Date
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