DOG INFORMATION

Dog’s name:___________________________ Date of Birth:________________ Weight:___________

Breed:________________________________ Male/Female                Neutered/Spayed/Unaltered

Is your dog currently on medication?  Y/N

If yes, what medications is your dog being given and what is being treated?

Will the petsitter need to administer medication(s)?  Y/N

If yes, please give detailed instructions:

Does your dog have any allergies?  Y/N

If yes, please list allergen(s):

Please list allergy symptom(s):

Do you want me to walk your dog, or let dog out in yard?  (If let out in yard, please indicate if fenced yard, tie-out, or electronic fence with collars?).

If dog is walked, is there anything in particular we should be aware of while walking your dog? (i.e. does he pull at the leash, how does he react to other dogs, cats, squirrels, and is he friendly with children?)

Please circle all known commands:

Sit           Stay       Wait       Come    No          Off         Down

Others:

Does your dog have any fears/phobias/aggression issues?

Has your dog ever bitten a person or another animal?  Y/N

If yes, please explain circumstances:

Where will your dog be before their walk (i.e. crate, yard, etc.)?

Where would you like your dog left afterwards (i.e. crate, yard, etc.)?

Do you have treats for your dog?

Does your dog have any favorite toys, games?

Are there any spots in your house I need to know about?  (i.e., where your dog may hide, or where he may have an “accident”?)

Does your dog attempt to escape when someone enters the house?  

Are there restricted areas your dog is not allowed indoors?

Where do you keep your dog walking items?

Leash:_________________________________

Waste Bags:____________________________

Other:_________________________________

Will your dog need to be fed?  Y/N

If yes

Feeding times:___________________________________________________:

Feeding location:_________________________________________________

Food location:___________________________________________________

Food quantity: Wet food:_______________ Dry food:____________________

Additional Instructions/Notes:

DOG WALKING TERMS AND CONDITIONS

This agreement is dated __________ __, between Meg’s Petsitting and _________ _ (Dog Owner).

The Parties herein agree as follows:

1. Dog Walker is authorized to perform care and services as outlined on this contract.  Dog Walker is also authorized to seek emergency veterinary care with release from all liabilities related to transportation, treatment, and expense.  Should specified veterinarian be unavailable, Dog Walker is authorized to engage the services of the veterinarian of their choice.  If client can not be contacted in a timely manner, Dog Walker is authorized to approve medical and/or emergency treatment as recommended by a veterinarian.  Client agrees to reimburse Dog Walker for expenses incurred, plus any additional fees for attending to such emergency, as well as expenses incurred for any other home/dog supplies needed.
2. Meg’s Petsitting agrees to provide the services stated in this contract in a reliable, caring, and trustworthy manner.  In consideration of these services and as an express condition thereof, the Client expressly waives and relinquishes any and all claims against said Dog Walker except those arising from negligence or willful misconduct on the part of the Dog Walker.
3. I further authorize this contract to be valid approval for future services permitting this dog walking service to accept my telephone/e mail reservations for service and enter my home without additional signed contracts or written authorizations.

 Veterinary Information:

    Name:___________________________Address:__________________________Phone:____________

I have reviewed this service contract for accuracy and understand the contents of this form.

Client Signature:____________________________________ Date:_____________________

Print Name:_______________________

For Meg’s Petsitting:

__________________________________________________ Date:_____________________

Margaret Gletherow