Dog Sense. Owner s Name: Address: City/State/Zip Code: May we send updates on your pet? Text Photo Text . # visits/day: One Two (add $10/day)

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1 Dog Sense P E T S I T T I N G F O R M Owner s Address: City/State/Zip Code: Home Phone: Species: Cell Phone: # of Pets: Breed(s): May we send updates on your pet? Text Photo Text Start Date/Time: End Date/Time: # visits/day: One Two (add $10/day) # of visits total: Each visit lasts 30 minutes, in which animals will be fed, water changed, cages cleaned (if applicable), mail brought in, trash taken out, and other similar home and pet care tasks. Daily Walking? Yes No 30 min: add $5 1- hour: add $10 Dog Park/Hiking Trip: add $15 +1 Dog: add $5 Walk & Train: Yes No End the leash pulling! Add $10 per week Any Special Walking Concerns? Location of spare key: Assigned Sitter: Jessica Kate Estimated Total: P.O. Box 367 Alhambra, CA Phone: Website:

2 Dog Sense P E T S I T T I N G F O R M PET SITTING RELEASE/CONSENT FORM All pets receiving pet sitting services must show proof of current vaccinations and proof of spay or neuter. Each animal must have their food/treats in sealed containers that are clearly labeled with their name, amount to be fed, frequency and brand. No dog eating a RAW or BARF diet will approved for pet sitting because of the risk of bacterial contamination to our staff and other animals. It is understood that toys, blankets, etc. may not stay in their original condition due to normal use. Our scheduled visitation hours are from 8am- 6pm. Visits requested after these hours will be charged an additional fee. All fees are to be prepaid no later than 24 hours prior to the first date of service and are non-refundable. Cancellations must be made within 24 hours of the reservation or will incur a penalty equal to 25% of the total bill. Any property damage caused by your pet(s) is the responsibility of the owner, as it is the owner s responsibility to ensure their home and property have been properly pet-proofed. Any check returned for insufficient funds will be charged an additional $35 fee. Any balance must be paid by cash, personal check, money order or credit card (via paypal) before services will be provided. In the event of an emergency we will make every effort to reach you prior to authorizing any treatment. If we are not able to contact you, the staff at Dog Sense will care for your pet as if it were their own. In the event of a medical emergency, if your regular veterinarian is too far away to provide prompt services or is closed, we will contact no less than two veterinary clinics and bring your pet to the closest one that is open. If an emergency should occur after-hours, we will take your pet to the nearest emergency veterinary clinic. Paul Lynch, DVM, is always available to us by telephone for minor concerns. During the day your pet(s) will be left unsupervised. It is the owner s responsibility to designate where and how their pets will spend their time safely until we visit again. The staff of Dog Sense, which includes Jessica Johnson and Kaitlyn Mahoney, agree to exercise due and reasonable care, and to keep the premises sanitary, free of hazards and properly locked when we leave to prevent anything from happening to your pets in our absence. Your pets will be fed properly and regularly, and be housed in clean, safe quarters. All property and animals being handled or cared for by our staff are without liability on Jessica Johnson or Kaitlyn Mahoney s part for loss or damage from disease, theft, fire, death, running away, injury, or harm to persons, other pets, or property by said pet, or other unavoidable causes, due diligence and care having been exercised.

3 It is understood by the Owner, Jessica Johnson and Kaitlyn Mahoney that all provisions of this contract shall be binding upon both parties for this visit and all subsequent visits. Any controversy or claim arising out of or related to this Agreement shall be settled in a timely manner with the rules of the American Arbitration Association with the award to the prevailing parties to include costs of such arbitration and reasonable attorney s fees. I,, the pet Owner/Agent have read the above pages and understand my responsibilities herein regarding this contract and the House s policies. I have also discussed my pet s needs and my expectations with Jessica Johnson and/or Kaitlyn Mahoney and am clear as to the boundaries and nature of the services provided. I agree to pay in full any and all charges incurred to Jessica Johnson or Kaitlyn Mahoney, any veterinary clinics used for services rendered to my pets, or Paul Lynch, DVM or my regular veterinarian whose services may be needed during the pet sitting period. Owner/Agent Signature Owner/Agent (please print name) Today s Date Dog Sense Witness Contact s Home Phone: Cell Phone: EMERGENCY CONTACT INFORMATION Relationship: Work Phone: In an emergency, I authorize Jessica Johnson to contact this person in the event that I cannot be reached. I certify that this person has the authority to make decisions about my pet s health care and treatment. Owner Signature: Date: I am traveling to: Hotel Location: My Travel Plans Hotel Phone Number I Can Be Reached At:

4 Pet s Pet Sitting Questionnaire (print one per pet) Owner s Breed: Age: Sex: Color(s): Weight: Spayed/Neutered? Yes No Food Brand: Time(s) Fed: Morning Quantity: Afternoon Quantity: Evening Quantity: Supplements? Yes No Dry Kibble Wet Food Other: Medications? Yes No Special Feeding Instructions: Treats? Yes No Chewies? Yes No No cooked bones or rawhide is permitted Type: Type: Treat Instructions: Veterinary Info Veterinarian s Phone Number: List any current medical conditions: Known allergies/skin conditions: Physical Limitations or Restrictions: Flea/Tick Prevention: Heartwork Prevention: Is your pet current on his/her vaccinations? Yes No Your Pet s History Previous Obedience Training (when and where): Previous Daycare/Boarding experience:

5 Does pet enjoy bathing? Yes No If your pet gets dirty, do we have permission to bathe them? Yes No Does your pet have any sensitive spots he doesn t like touched? How does your pet react to other dogs? Any fears/phobias? Is your pet aggressive towards other dogs? Yes No Not Sure Is your pet aggressive towards people? Yes No Not Sure Is your pet aggressive towards cats or small animals? Yes No Not Sure Will you allow us to let your dog have playtime with other friendly dogs in the yard with supervision? Yes No Please sign giving us permission: About Your Pet s Behavior (check all that apply) Biting or growling at people or dogs Aggressive with other dogs Aggressive with food or toys Jumping over fences Excessive leash pulling Escaping from leash Running away Other: Items Brought With Your Pet: Jumping on people Excessive chewing or digging Chases cats or small animals Excessive barking or whining Is there anything else we should know about your pet? We will not be held responsible for personal items lost or damaged while pet sitting. Vaccines verified Flea/Tick check done All pet supplies verified Office Use Only Food labeled Medications/Supplements discussed Passed temperament test

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