WAGGING TAILS PET SITTING SERVICES
CLIENT INFORMATION AND ASSIGNMENT

Please Print And Fill Out As Much Information As Possible Before Your Consultation
Some areas of this form will not apply to you and your pets, and should be skipped.

CLIENT INFORMATION

Pet's Name(s) _______________________________________________________________________________________

Pet's Breed(s) _______________________________________________________________________________________

Pet's Age(s)_________________________________________________________________________________________

Owner's Name(s)_______________________________________________________________________________________

How did you find us? _________________________________________________________________________________

May we take photographs of your pet(s) to display on our website? - YES / NO

May we use you as a reference? - YES / NO

Home Address _______________________________________________________________________________________

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Home Phone (___________) ____________________________________

Work Phone (___________) ____________________________________

Cell Phone: (___________) _____________________________________

Email Address_______________________________________________________________________________________

Phone where you can be reached while away (___________) ________________________________

Emergency Contact____________________________________________________________________________________

Emergency Contact Phone (___________) ______________________________________

Person with Extra Key__________________________________________________________________________________

Person with Extra Key Phone (___________) ____________________________________

Location of Hidden Extra Key____________________________________________________________________________

Alarm company Name __________________________________________________________________________________

Alarm company Phone (___________) ______________________________________

Temporary Alarm Password____________________________________________________________________________

Temporary Alarm deactivation Code_____________________________________________________________________

Alarm activation Code________________________________________________________________________________

Phone Number of local Police Department (___________) ______________________________________

Will anyone else be entering your home while you're away? - YES / NO

If Yes, Please list purpose of visit(s) and estimated times:

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Shall Wagging Tails retain your key on file for future services? - YES / NO

Veterinarian's Name____________________________________________________________________________________

Veterinarian's Address __________________________________________________________________________________

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Veterinarian's Phone (___________) ___________________________________

Authorization to take pet(s) to Veterinarian - YES / NO

Is your pet(s) up to date on all shots? - YES / NO

Is your pet(s) micro-chipped? - YES / NO - If Yes, Chip # ______________________________________

Is your pet(s) secured by an electronic fence or fenced in area that allows them to not use a leash? - YES / NO

Where are your cats favorite places to hide or hangout?

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Is there a special command or trick that will make your pet(s) come? - YES / NO

If Yes, Please Explain

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Does your pet(s) get along with other Pets? - YES / NO

Does your pet(s) get along with other People? - YES / NO

Is your Cat(s) Declawed? - YES / NO

Does your Pet(s) have any aggressive or behavior problems? - YES / NO

If Yes, Please Explain

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PET SITTING ASSIGNMENT INFORMATION

Important: All Clients Must Contact Us By Phone The Day Before Your First Scheduled Visit. Thank You

Date and time of first visit____________________________________________________________

Date and time of last visit ____________________________________________________________

Number of visits per day_________________________

Approximate times of visits

(1)________________ (2)________________ (3)________________ (4)________________ (5)________________

Total number of visits____________________________________

Do you want us to verify you have returned on time and continue to visit if we do not hear from you? - YES / NO

Date and approximate time you are expecting to be home __________________________________________________

Would you like us to contact you regularly during the visit? - YES / NO

If yes, please indicate by what method and when/how often

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Additional duties (please check those you would like to request)

______ Replenish water and food

Food and/or Treats are located

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Feeding instructions

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______ Administer medication

Medications are located

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Medication instructions

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______ Excercise and Playtime

Favorite activities

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______ Pooper Scooper your yard

Pooper Scooper Removal Instructions

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______ Litter box cleaning for Cats

Litter Removal Instructions

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______ Light brushing

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______ Feed Fish

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______ Collection of daily mail and newspapers

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______ Alter household lighting

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______ Alter curtains

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______ Turn TV or Radio on or off for your pet's comfort

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______ Watering of household plants and flowers

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______ Taking your garbage and/or recyclables out to the curb on specified days

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______ Other

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Additional Notes:

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