Your Name: *

Partner/Spouse Name:

Phone Cell (self):

Phone Work (self):

Phone Home:

Phone Work (partner/spouse):

Phone Cell (partner/spouse):

Email:

Address:

Pet Sitting Period (please include the dates you are away and the approximate time of departure/return):

Please provide us with your contact details during this period (Hotel name, address and telephone number etc)

Emergency Contact(s). Please circle yes or no if they have a copy of your house key. They should be able to make a decision about the care of your pets or home if we cannot reach you, in case of an emergency (It doesn’t have to be someone that lives nearby)

Name:
Relation:
Phone:
Key:
YN
Name:
Relation:
Phone:
Key: YN
Name:
Relation:
Phone:
Key: YN

Veterinary Details

Name of Vet:

Address:

Telephone Number:

Should we be expecting anyone in your home during your absence? YN If yes, Who?

How would you like us to return your key after our service ends?
Delivery in personMailLeave hidden OUTSIDE of house (don’t write where on here)Other

Door of Entry:
Front DoorSide DoorBack DoorGarage Door

To Be Locked:
DeadboltDoor HandleBoth

Door from garage to house keep:
N/ALockedUnlocked

Mailbox Location:

Bring in mail? YN

Bring in packages? YN

Bring in newspapers? YN

Do you have any other pets you would like us to feed? YN

If yes, please give details of type of pet, location of food, amount, etc.

We will scoop litter on every visit. Will you need the litter box completely changed? YN

How do you dispose of solids (flush/ bag and place in garbage)?

If bag and place in garbage, where is the outdoor garbage located?

Please tell us where you will keep the following items during our visits and any applicable instructions:

Litter box:

Cat litter:

Bags for disposal (If applicable):

Food:

Food Bowl:

Water Bowl:

Treats:

Medication:

Grooming Items:

Pet Carriers for transport:

Pet Waste Disposal:

Main Indoor Trash Can:

Vacuum:

Broom/Dustpan:

Paper Towels:

Cleaning Supplies (in case of cat accident):

Main Water Shut Off Valve:

Fire Extinguisher:

Indoor/Outdoor plant watering instructions:

Home Security

Set Alarm: YN

Alarm System Panel(s) Location:

Alarm Company:

Phone Number:

Alarm Setting Details

To Activate: (instead of writing the code here, please use the word CODE instead, ie Press ‘CODE’ then ‘OK’)

To Deactivate:

*Do not write alarm code on this contract. We suggest that you use a temporary house alarm code of our choosing, that way the code does NOT have to be written down*

Pet Profile

Pet's Name:

Age/Birthday:

Cat/Other:

MaleFemail

Spayed/Neutered: YN

Breed:

Colours:

Microchipped: YN

Feeding Instructions (please be specific about amount of food and how many times per day)

What brand(s) and/or type(s) of food do you feed?

Favourite toys / games:

Food Allergies / Restricted Food:

Major Medical Conditions (past and present):

Medications(s) – name, dose, frequency:

This pet loves to:

Special handling / Other notes):

I attest that all of the above information is true to the best of my knowledge. If anything changes from that listed above I will inform DogZen before the next service is scheduled to begin.

This signed document gives DogZen (and their representatives) authorization to enter the above listed address as needed to perform the necessary care as outlined in this contract. I authorize this contract to be valid approval for services so as to permit DogZen to accept all future telephone, online, mail or email reservations and enter my home without additional signed contracts or written authorizations.

Name:

Date: