New Client Intake & Service Agreement

Full Name

First NameMiddle NameLast Name

Street Address

Street Address Line 2

CityState / ProvincePostal / Zip CodeCountry

Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Email Address

example@example.com

Preferred Contact Method

Emergency Contact Name

First NameMiddle NameLast Name

Emergency Contact Phone

Please enter a valid phone number.Format: (000) 000-0000.

Relationship

Pet Information

Services Requested — please select all that apply.

Access Methods Provided

Lockbox Code

Garage Code

Gate Code

Other Instructions

I authorize Winter's Grace on the Go Pet Concierge to provide the requested services.

I understand services are provided within 15 miles of Greenville, NC. Additional mileage may incur additional fees.

I agree to pay according to the current fee schedule.

I understand reasonable care will be exercised while transporting my pet.

I authorize emergency veterinary treatment if I cannot be reached and accept responsibility for related costs.

I authorize emergency veterinary treatment if I cannot be reached.

I accept responsibility for all veterinary expenses.

I authorize secure carriers or restraints during transportation.

I understand waiting during appointments is billed separately.

I understand the following payment methods are accepted: Cash, Credit/Debit, Venmo, Cash App, Zelle, PayPal, and payment must be made at the time of service

Photo Permission

Additional agreement notes

Current fee schedule

I certify that I am the legal owner or authorized caretaker of the pet(s) listed on this agreement and have the authority to authorize services.

I understand that Winter’s Grace on the Go Pet Concierge provides pet transportation and concierge services only and does not provide veterinary, grooming, boarding, training, or medical services.

I certify that I have disclosed all known medical conditions, medications, allergies, behavioral concerns, bite history, aggression, anxiety, escape tendencies, or any other information that could affect the safe handling or transportation of my pet.

I understand that every reasonable effort will be made to transport and care for my pet safely. However, animals can be unpredictable, and I acknowledge that transportation involves inherent risks.

Except in cases of gross negligence or intentional misconduct, I agree to release, indemnify, and hold harmless Winter’s Grace on the Go Pet Concierge, its owner, employees, and volunteers from any claims, damages, injuries, illnesses, losses, costs, or expenses arising from services provided, including those resulting from the actions or behavior of my pet.

If my pet becomes ill, injured, or experiences a medical emergency while in the care of Winter’s Grace on the Go Pet Concierge, and I cannot be reached after reasonable attempts, I authorize the business to seek emergency veterinary care on my behalf. I understand that all veterinary fees, medications, treatments, and related expenses are my sole responsibility.

I agree that Winter’s Grace on the Go Pet Concierge is not responsible for delays caused by traffic, weather, accidents, veterinary scheduling changes, road closures, mechanical issues, or other circumstances beyond its reasonable control.

I understand that pets will be transported using appropriate safety measures, which may include crates, carriers, harnesses, seatbelt restraints, or other secure equipment as determined appropriate for the pet’s safety.

I agree to reimburse Winter’s Grace on the Go Pet Concierge for any damage to its vehicle or equipment caused by my pet due to undisclosed behavioral issues, aggression, or negligence on my part.

I understand that services are provided within 15 miles of Greenville, North Carolina, unless otherwise agreed, and that additional mileage or special service fees may apply.

I understand that payment is due according to the current fee schedule and that waiting during appointments, after-hours services, holidays, or additional requested services may result in additional charges.

I understand that photographs of my pet will not be used for marketing or social media without my permission.

This agreement shall remain in effect for all future services unless cancelled or replaced in writing by either party.

At Winter’s Grace on the Go Pet Concierge, we understand that unexpected situations can arise. Please notify us as soon as possible if an appointment needs to be changed or canceled.

Appointment Cancellations

Appointments canceled at least 24 hours in advance will not incur a cancellation fee.
Appointments canceled less than 24 hours before the scheduled service may be subject to a cancellation fee of up to 50% of the scheduled service fee.
Same-day cancellations may be subject to the full service fee if travel has already begun or the appointment time has been reserved exclusively for your pet.

No-Show Policy
If our Pet Concierge arrives at the scheduled pickup location and is unable to complete the service because the client or pet is unavailable, inaccessible, or not ready, the appointment will be considered a No-Show. No-Show appointments may be charged 100% of the scheduled service fee.

Veterinary or Grooming Office Delays
Winter’s Grace on the Go Pet Concierge is not responsible for delays caused by veterinary clinics, grooming salons, boarding facilities, traffic, weather, road closures, or other circumstances beyond our control. If a client requests that we remain with their pet during an appointment, waiting time will be billed according to our current fee schedule.

Emergency Cancellations
We understand that emergencies happen. Fees may be waived at our sole discretion in situations involving:

Medical emergencies
Severe weather
Family emergencies
Veterinary office cancellations
Other unforeseen circumstances

Late Arrivals
If a client is not ready at the scheduled pickup time, we will make reasonable efforts to accommodate the delay. Extended delays may result in additional waiting fees or may require rescheduling based on our availability.

Right to Decline Service
Winter’s Grace on the Go Pet Concierge reserves the right to decline or discontinue services if:

A pet presents an undisclosed safety risk or aggressive behavior.
Conditions are unsafe for transportation.
Required information has not been provided.
Payment policies have not been met.

Electronic Signature

Printed Name

First NameLast Name

Today’s Date

Date

Select Pet

I certify I am the legal owner or authorized caretaker.

I authorize Winter’s Grace on the Go Pet Concierge to transport my pet.

I understand fees are based on the current fee schedule.

I understand services are provided within 15 miles of Greenville NC.

I understand Winter’s Grace on the Go is not a veterinary practice.

I authorize secure carriers or restraints during transportation.

I understand waiting during appointments is billed separately.

New Client Intake & Service Agreement

Client Information

Pet Information

Services Requested

Home Access

Agreement

Liability Agreement

Cancellation & Scheduling Policy

Final Section