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New Client Registration
Home
Services & Rates
Bookings
About
Contact
New Client Registration
Registration FORM
Today's Date
MM
DD
YYYY
Owners Name
First Name
Last Name
Phone
(###)
###
####
Email
E-mail
Address
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Emergency Contact Name
First Name
Last Name
Emergency Contact Number
(###)
###
####
Dates for Pet Sitting
MM
DD
YYYY
End Dates for Pet Sitting
MM
DD
YYYY
Dogs or Cats Name
If multiple dogs- add all names here with a dash in between
First Name
Last Name
Age
If multiple dogs, add age in the same order you added their names
Breed
Sex
Male
Female
Sex
If multiple dogs- Please say them in order
Spayed/ Neutered
Yes
No
Vaccinations
*
Check vaccinations dog has
Rabies
Bordetella
DHLPP
Rabies Date Administered
MM
DD
YYYY
DHLPP Date Administered
MM
DD
YYYY
Bordetella Date Administered
MM
DD
YYYY
Veterinarian Name
Veterinarian Contact Number
(###)
###
####
Pet Insurance
If Yes, Please provide details.
Does your dog like car rides?
Yes
No
If No, please explain
Can your dog be off leash?
Yes
No
Does your dog have recall training( come)?
Yes
No
How does the dog interact with people or other dogs?
Allergies
Yes
No
If Yes please explain
Is your dog on any Medication?
Yes
No
If Yes please explain
CANCELLATION POLICY: You must give 96 hours notice prior to cancelling a DOG WALK, DOG TRAINING, PEE BREAK reservation. If you do not give enough notice and would like to cancel your reservation, there will be a 50% cancellation fee. If you cancel less then 24 hours prior to a reservation, you will be charged the full amount. If you would like to cancel a BOARDING or DOG SITTING reservation, you must provide 2 weeks notice prior to any cancellations. If less then 2 weeks notice has been given a 20% cancellation fee will apply.
Initial
Any other information you would like to provide regarding your pets, please let me know!
Thank you!
WAIVER AND RELEASE OF LIABILITY AGREEMENT
