DOGS THAT COME TO STAY WITH US HAVE TO BE CAT FRIENDLY- OUR CATS LOVE DOGS!

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ALL CREATURES PET SERVICES Expect the Best ANDREA PATRICK,LLC 12535 SW MORGAN ROAD SHERWOOD, OREGON 97140 MOBILE PHONE: 503-537-8747 Web:allcreaturespetservicesllc.com E-MAIL: allcreatures2010@yahoo.com Pets Name D.O.B AGE Breed Color Gender : M or F Spay/Neuter(required over 6months) Y / N CLIENTS NAME ADDRESS: CITY, STATE ZIP PHONE text(for updates): Y/N_ E-MAIL ***Emergency contacts: OVERNIGHT START DATE END DATE Who referred you: $35.00 Per Night per dog (24/7 care) **** Day of pick up after 1pm is $17**** *** Hours: 7am-7pm DOGS THAT COME TO STAY WITH US HAVE TO BE CAT FRIENDLY- OUR CATS LOVE DOGS!

VACCINES: *Current on Vaccinations? (REQUIRED) *DHLP-P (Distemper, Hepatitis, Leptospirosis, Parainfluenza, Parvovirus) ***Bordetella (Kennel Cough) This vaccine has to be given within 6 months Rabies Vaccine: *Flea Control (REQUIRED) Fecal Testing Last Physical exam Is your dog currently on medications/supplements? No yes What kind? Instructions on giving this medication: dosage, time, etc Restrictions: i.e. Medical Conditions or Allergies that require restrictions on her/his activities or diet Vet Preference Phone Is your vet aware that you will be using our Pet Service? No, will notify Yes, have notified Microchip Number (highly recommended): Yes M.C Number No What provisions have you made in case of injury/illness resulting with your pet?

PERSONALITY: (Fears / Phobias) Describe how your dog gets along with other animals, in your home, on walks dog parks etc Any sensitive areas on her/his body Has your dog ever growled/bitten anyone or another dog Does your dog have basic training(very important) Is there additional information I should know about your dog **** PLEASE LABEL YOUR PET'S SUPPLIES****

DIET: Food: Please note where you purchased it. What Brand? (if I need to purchase) Instructions on Diet: A.M (amt) P.M (amt) Snack: Sleep: Where? Crate Dog Bed Other Treats (If you have a Preference please bring with your dog) I DO OFFER HEALTHY TREATS (not always hypoallergenic) *** I supply the Food/Water Dishes ***Personal Items: Do not bring any irreplaceable or valuable items ** Please do not bring any raw hide*** HOURS OF SERVICES: 7A-7P

PLEASE READ CAREFULLY, THANK YOU All Creatures Pet Services is not responsible for loss or damage to any personal item(s) left with your dog. Assignment of Care and Waiver : *All Creatures Pet Services is authorized to perform care and services as listed. *All Creatures Pet Services is authorized to obtain medical and/or emergency treatment as recommended by veterinarian. I agree to reimburse *All Creatures Pet Services for medical expense incurred, plus any additional fees i.e. food/supplies. All Pet(s) are to be currently vaccinated and applied flea control. I give *All Creatures Pet Services permission to take my pet off the premises for exercise, i.e. walks, hikes. I hold *All Creatures Pet Services harmless for loss or unforeseen death of my pet(s). I HAVE REVIEWED THIS CONTRACT FOR ACCURACY AND UNDERSTAND THE CONTENTS OF THIS CONTRACT: DATE CLIENT SIGNATURE *References available I AM INSURED AND REGISTERED A MEMBER OF PORTLAND PETSITTERS Revised 6/2016

Reservations dates: Overnight boarding @ $35= Daycare: all day or after 1p pick up Additional services: TOTAL FEE

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