Alex's Feline Training and Behavior Consulting, LLC
New Client Form for In-Home Care
Thank you for the opportunity in allowing me to help you and your family!
Date
*
-
Month
-
Day
Year
Date
Your Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Best Number to reach you
*
-
Area Code
Phone Number
Email
*
example@example.com
Emergency Contact
First Name
Last Name
Emergency Contact Phone Number
-
Area Code
Phone Number
Kitty's Information
Cat's Name
*
Cat's Age
Feeding Instructions
Dry Food once a day
Dry Food twice a day
Wet Food once a day
Wet Food Twice a day
Treats
Any additional feeding instructions or allergies?
Vaccines Current?
*
Yes
No
Indoor only?
Yes
Only allowed outside when owners are home
May go outside when owners are not home
Any history of aggression andor biting?
No
Medication Instructions: Please include name of medicine, amount, and dosing instructions
Any roomsareas in the home that are off limits?
The following duties will be performed during this and all future Home Care service dates. If there are any changes to this information, it will be the Pet Owner’s responsibility to contact Alex’s Feline Training and Behavior Consulting LLC of such changes in writing.
Cat Sitting Visits
Date you will be leaving
-
Month
-
Day
Year
Date
Date Returning
-
Month
-
Day
Year
Date
Vacation Phone number
-
Area Code
Phone Number
Neighbor (with an extra key)
First Name
Last Name
Neighbor's phone number
-
Area Code
Phone Number
Pet or home care responsibilities shared with anyone else not affiliated with Alex's Feline Training and Behavior Consulting during your absence?
No
Date you would like your Key and Intro Visit?
This will be a time for us to meet, review the services requested, show me where all the pet and cleaning items are located, review the security system, and review the contract. This $10 fee also includes me coming back to return your key.
When would you like for me to visit?
Morning (7am - 11am)
Mid-day (11am -4pm)
Evening (4pm - 8pm)
Morning and Evening (twice a day)
Other (to be discussed at the Intro Visit)
$35 per 45 minute visit where I will refresh water bowls, scoop litter boxes, give medications, feed accordingly, brush, offer playtime and will at least see your cat. If your cat is extremely shy, I won't force an interaction but will try to lure kitty out with a toy or specified treat. Additional time may be added to each visit - $15 per 30 minutes.
Would you like for me to do any of the following?
Alternate lights every visit
Alternate open\closed blinds every visit
Water indoor plants
Water outdoor plants
Bring in mail and packages left
Take garbage to curb for pickup
Turn on\off tv or radio
Take videos of your cat\s ($2 per day additional charge)
Trim cat\s nails ($8 per cat additional charge)
Apply nail caps ($5 per cat additional charge)
Mini Train for specified behavior ($30 per cat additional charge)
Keeping Kitty Fit Services
Cat Walk
Morning (7am to 11am)
Mid-Day (11am to 4pm)
Evening (4pm to 8pm)
Other
Harness and leash trained cats only
Play Session
Morning (7am - 11am)
Mid-day (11am - 4pm)
Evening (4pm - 8pm)
Other
Cat Taxi Service
Pick up only? (one way trip)
Yes
No
If no, or a round trip, please provide more details here:
When am I to pick up your cat?
-
Month
-
Day
Year
Date
1
2
3
4
5
6
7
8
9
10
11
12
:
Hour
00
10
20
30
40
50
Minutes
AM
PM
AM/PM Option
Address I am taking your cat to:
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please upload any releases or additional forms needed
Browse Files
Cancel
of
Enter the message as it's shown
*
By submitting this form, I certify that my pet\s are currently in good health and has had no communicable diseases. I further certify that my pet has not bitten, harmed, or shown any threatening behavior towards any person or animal. I understand that Alexandra Garver assumes no responsibility for the loss or damage to property and any pet and is released from all related liability in the event of a home emergency. I also agree to be responsible for all special services assessed by Alex’s Feline Training and Behavior Consulting, LLC for emergency transportation, care, or supervision for my pets and home and will pay such fees when I return from vacation.
Submit
Should be Empty:
Now create your own JotForm - It's free!
Create your own JotForm