Name * First Name Last Name Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Email * Phone * (###) ### #### Emergency Contact Name * First Name Last Name Emergency Contact Phone * (###) ### #### Veterinarian * Doctor or Animal Hospital Name Veterinarian Phone * (###) ### #### Pet Name * Pet Breed * Pet Age * Pet Birthday MM DD YYYY Sex * Male Female Spayed/Neutered * Yes No Food & Treat Location Feeding & Medication Instructions Is your pet allowed treats? * Yes No Does your pet have allergies? Is your pet friendly to other animals? * Yes No Is your pet friendly to other humans? * Yes No Is your pet current on all vaccinations? * Yes No If your pet has an accident in the house, where are cleaning supplies located? * Service Preference * Dog Walking Dog Running Pet Sitting Overnight Sitting Dog Walking & Overnight Sitting Cat (or other species) Visits Days of Week * Monday Tuesday Wednesday Thursday Friday Saturday Sunday Preferred 2 hour time preference (this is the time frame your dog walker/runner will arrive at your home) * 9 AM - 11 AM 10 AM - 12 PM 11 AM - 1 PM 12 PM - 2 PM 1 PM - 3 PM 2 PM - 4 PM 3 PM - 5 PM Other Please indicate anything else about your pet(s) that would be useful to us in providing care: Additional duties requested (Bring in mail/papers, water plants, put out trash, etc.): Please check if you agree to the following terms: * You agree to pay the charges accrued for the services provided as outlined in this agreement I Agree * Weekday walks cancellation policy: if cancellations are made less than 24 hours prior to the visit, you will be charged the full amount. If cancellations are made between 24-48 hours prior to the visit, 50% will be charged. I Agree * Weekend walks and overnight pet sitting cancellation policy: if cancellations are made less than 48 hours prior to the visit, you will be charged the full amount. If cancellations are made between a week and 48 hours prior to the visit, 50% will be charged. I Agree * Hold Fee Policy: Doggy Dash charges a 50% hold fee after two weeks of vacation in a given year. This only applies to full weeks gone and excludes holiday weeks. I Agree * You are responsible for any costs/payments incurred by the walker / sitter due to (1) bites and (2) any exposure of ailments and/or diseases by the owner’s pet(s) in which they were not properly vaccinated. I Agree * You authorize me to perform care and services as outlined in this agreement. You also authorize me to seek any medical care if deemed necessary with release from all liabilities related to transportation, treatment and expense. You authorize me to approve medical and/or emergency treatment as recommended by a veterinarian in the event of an emergency. I Agree * You have reviewed this service agreement for accuracy and understand the contents of this form. I Agree Thank you! We will be in touch with your PetCheck login information.
