Sierra Pet Co. Client Intake Form 🐾
Please fill out this form with honest and accurate details to help us provide consistent and successful care for your pets.
Owner Full Name
*
First Name
Last Name
Owner Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Owner Email Address
*
example@example.com
Owner Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
Emergency Contact Name
*
First Name
Last Name
Emergency Contact Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Emergency Contact Relation
Is your emergency contact authorized to make medical decisions for your pet if you cannot be reached?
*
Yes
No
Service Selection
Please select the services you are interested in
30 Minute Trailside Walks/Drops-Ins.
60 Minute Trailside Walks/Drop-Ins
Ruff Ridges Pack Adventures 4 or 8 Hours
Basecamp Boarding (My house)
Homefront Care (Your house)
Backcountry Buddies (Camping)
How often would you like updates during your pet's stay?
Once daily
Twice daily
Every other day
Only if needed
Preferred method of communication
Text message
Phone call
Email
Would you be interested in pickup/drop-off services?
Yes
No
Possibly
How did you hear about Sierra Pet Co.
*
Instagram
Google
Referral
Existing Client
Community Bulletin Boards
Other
Who were you referred by? We’d like to express our heartfelt gratitude!
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Pet Information
Pet’s Name
*
Pet Species
*
Please Select
Dog
Cat
Other
Pet Breed
*
Pets Age
*
Please Select
Eight to twelve weeks
Four months
Five months
Six months
Seven months
Eight months
Nine months
Ten months
Eleven months
1 year
2 years
3 years
4 years
5 years
6 years
7 years
8 years
9 years
10 years
11 years
12 years
13 years
14 years
15 years
16 years
17 years
18 years
19 years
20 years
Weight in lbs
*
Is your pet currently on any medications, vitamins or supplements?
*
Yes
No
Please list the medications, vitamins or supplements your pets is on, along with dosage amounts and times given.
Sex
*
Male
Female
Is your pet Spayed/Neutered?
*
Yes
No
Does your pet have any current injuries, illnesses, chronic conditions, or medical concerns we should be aware of?
Vet Information
Vet Name
*
Vet Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Vet Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
Emergency Vet
Emergency Vet Name
Emergency Vet Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Pet Vaccination Records
Are your pet's vaccinations up to date?
*
Yes
No
Please upload pets vaccination records here.
*
Upload vaccine records
Drag and drop files here
Choose a file
Cancel
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Is your pet currently on flea/tick prevention?
*
Yes
No
Emergency Authorization
In the event of a medical emergency, do you authorize Sierra Pet Co. to seek veterinary treatment for your pet if you cannot be reached?
*
Yes
No
Sierra Pet Co. will make every reasonable effort to contact pet owners prior to seeking veterinary treatment when possible. If pet owners are unable to be reached, Sierra Pet Co. may authorize emergency veterinary treatment up to the amount selected below.
*
Up to $250
Up to $500
Up to $1,000
Unlimited
Do not authorize treatment until I or my emergency contact has been reached.
Liability and Financial Responsibility
Financial Responsibility Acknowledgement
I understand that I am financially responsible for any veterinary or medical expenses incurred during my pets stay or services. Please sign below to acknowledge.
*
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Bite and Aggression Disclosure
Has your pet ever bitten or injured another animal or person?
*
Yes
No
If yes, please explain the situation and severity.
Daily Routine & Behaviors
Please provide your pet’s feeding routine, including feeding times, meal portions and any special instructions.
*
Can your pet be fed around others?
*
Yes
No
Unsure
Does your pet have any food allergies or treat sensitivities that we should be aware of?
*
Yes
No
Please list allergies or treat sensitivities below.
Trail Behavior & Safety
How comfortable is your pet being handled by unfamiliar people?
*
Very Comfortable
Needs slow introductions
Selective with people
Not comfortable with unfamiliar people
What activity level does your dog typically enjoy?
*
Low energy
Moderate energy
High energy
Very active / adventure dog
Is your dog comfortable participating in group walks, day care, or supervised social settings?
*
Yes
No
Is your dog comfortable with?
*
Hiking trails
Swimming / lakes
Snow play
Car rides
Public environments
None of the above
Please select walking preferences.
*
Must be kept on leash.
Off leash is OK.
Does your dog have reliable recall off leash?
*
Yes
No
Working on it
Not applicable
At Sierra Pet Co. we understand that every dog has their own unique commands, routines and verbal cues. To help us provide consistent, personalized care, please share any commands, training words, routines or cues your dog knows and responds to best.
*
Does your dog display prey drive or strong chasing instincts toward wildlife, small animals, moving objects, or other pets?
*
Yes
No
Occasionally
Unsure
Please describe any prey drives, behaviors, triggers, or situations we should be aware of.
Is your dog fearful, reactive, overstimulated, or uncomfortable around any of the following?
*
Men
Women
Children
Dogs
Bicycles
Runners
Loud noises
Vehicles
Strangers entering the home
Wildlife
None of the above
Please describe any other triggers, sensitivities, fears, or situations that may cause stress or reactivity.
Home Behavior & Independence
Please answer all of these questions honestly so we can ensure a safe and easy stay for your pet.
Has your pet ever attempted to escape a yard, home, vehicle, crate or enclosure?
*
Yes
No
If yes, please explain situation and severity.
Has your pet ever displayed any of the following behaviors?
Resource Guarding
Separation Anxiety
Leash Reactivity
Escaping /Door Darting
Excessive Barking
Mounting Behavior
Destructive Behavior
Counter Surfing/Trash Digging
None of the Above
How does your pet typically settle indoors?
Calm and relaxed
Active but manageable
Anxious / paces
Requires constant supervision
My pet can safely be left alone indoors for ___ hours with these conditions:
*
Can your pet be safely left alone overnight with these conditions?
*
Yes
No
Where does your pet sleep?
*
In a crate
On his/her dog bed
On the furniture
In owner’s bed
Wherever they please
Are there any bedtime routines or comfort items your pet prefers?
*
Travel
My pet
Enjoys short car rides
Enjoys long car rides
Dislikes the car
Gets car sick
Travels in crate
Travels strapped into seat
NO CAR RIDES
Please tell us what makes your pet happiest! Examples may include favorite toys, routines, treats, anything that helps them feel at home or ensures they have the best day ever! If you have any questions, concerns, or recommendations please include those here as well!
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Sierra Pet Co. Policies and Service Agreement
Deposit Policy
*
I understand that all boarding and house sitting reservations require a 50% non-refundable deposit to secure and reserve the requested dates.
Cancellation Policy
*
Cancellations made more than 7 days before the scheduled service start date may transfer the deposit to one future booking within 6 months of the original reservation date. I understand that cancellations made within 7 days of the scheduled start date for boarding or house sitting services will result in forfeiture of my reservation deposit. Deposits are non-refundable and may only be transferred once.
Late Pickup Policy
*
I understand that boarding and house sitting rates are based on a 24 hour period from drop off time and that any additional day care or late pickup fees may apply for extended stays.
Daily & Weekly Services Payment Policy
*
Payment for walks, drop-ins, and recurring services is due weekly, no later than 8 PM on Sunday evening. Payments may be made electronically unless otherwise discussed.
Holiday Policy
*
I understand that holiday bookings and vacation weeks may require additional deposits, advance payment, and surcharges.
Vaccination Policy
*
I certify that my pet is current on all required vaccinations and free from contagious illnesses or parasites.
Veterinary Emergency Agreement
*
I authorize Sierra Pet Co. to seek veterinary care for my pet in the event of illness, injury, or emergency if I cannot be reached.
I understand that I am financially responsible for any veterinary expenses incurred during my pet's stay or services.
I do not authorize Sierra Pet Co. to seek veterinary care for my pet in the event of illness, injury or emergency.
Behavioral Disclosure Policy
*
I understand that withholding behavioral aggression, escape, or medical history may result in immediate termination of services if safety concerns arise.
Service Refusal & Safety Policy
*
Sierra Pet Co. reserves the right to refuse or discontinue services at any time if a pet displays unsafe, aggressive, destructive, or excessively stressful behaviors that may pose a risk to themselves, other animals, or handlers.
Outdoor Adventure & Transportation Acknowledgment
*
I understand that outdoor activities, transportation, hiking, swimming and trail based services involve inherent risks despite all reasonable safety precautions being taken.
Here at Sierra Pet Co. we love to take photos of your happy pets! Do you give permission to share these images or videos of your pet for social media or marketing materials?
*
Yes! My pets adventures are too good not to share!
No thanks, my pet would prefer to keep their mountain adventures off the grid.
Mountain & Weather Conditions
*
I understand that severe weather, road conditions, wildfire activity, or mountain travel conditions may occasionally impact scheduling, transportation, or outdoor activities.
Final Authorization and Signature
By signing below, you acknowledge that the information provided is accurate and that you agree to the policies, terms, and conditions outlined by Sierra Pet Co.
I certify that all information provided in this intake form is accurate and complete to the best of my knowledge. I understand and agree to the policies, procedures, and services outlined by Sierra Petco.
Signature
*
Typed Name
*
Signature Date
*
-
Month
-
Day
Year
Date
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