Intake Form

Your name *

First NameLast Name

Phone number*

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

YesCall only

Emergency contact number*

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

Email*

example@example.com

Pet’s name *

Pet size & type (cat or dog?)*

Photo of pet (optional)

Yes, spayed.Yes, neutered.No

Yes, on going.Yes, rehabilitated.No

Please list medical conditions below.

Please list any medical care instructions in detail below. (Be sure to include dosage, frequency of dose, and the proper medical name of any medications.)

In event of a big emergency, please list your preferred veterinarian if you have one.

Address of vet office

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Vet phone number

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

WalkDrop inStay over

Requested start date*

Date

End date (if applicable)

Date

Requested schedule *

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Please list any other triggers or clarify triggers.*

YesNo

If yes, please explain.

YesNo

Please list favourite treats and any allergies.*

CollarHarnessBothNot leash trained

Does your pet know commands/tricks?*

Anything else you want me to know?

TERMS AND CONDITIONS

1. ACCURACY OF INFORMATION
I confirm that the information I have provided is accurate and complete to the best of my knowledge. I understand that withholding or providing false information may increase my pet's risk of illness or injury. I understand that Snout Route and it's employees are not liable for injuries or illness resulting from unreported or misrepresented conditions.

2. CONFIDENTIALITY & USE OF INFORMATION
I consent to the use of photography of my pet for communications between Snout Route and myself. I also understand that any photos or testimonials will only be shared publicly with my explicit written permission.

3. DUTY TO DISCLOSE CHANGES
I understand that it is my responsibility to inform my pet care professional of any changes to my my pet's health, medical condition, or personal information during the course of services rendered. I acknowledge that timely communication ensures both my pet's safety and their enjoyment of services.

4. ASSUMPTION OF RISK & LIABILITY WAIVER
I voluntarily agree to allow my pet to participate in walks and other types of care. I acknowledge that physical activity carries inherent risks, including but not limited to injury, illness, or in rare cases, death. By signing this waiver, I release Snoute Route and any affiliated employees from liability for any injuries, damages, or losses sustained during or after participation, unless otherwise found to exist due to neglience as determined by a court of law.

5. CANCELLATION & REFUND POLICY
Refunds are only provided under the following condition:

A medical condition arises that prevents participation, accompanied by a vet's note.

- Refunds may only be issued for days that have not yet begun.

- No refunds will be issued retroactively for services already delivered or partially completed.

6. SCHEDULING, COMMUNICATION & EXPECTATIONS
I understand that all communication is to be done through the agreed-upon channels (ex. facebook, text, or email). I am responsible for showing up for release and return of my animal on time and prepared. I understand that late fees may apply without adequate notice given.

7. TERMINATION OF SERVICES
Snout Route reserves the right to terminate services upon discussion if policies are not respected, communication becomes inappropriate, or if the pet's health or safety is at risk due to continued participation.

Signature*