Pet Care/Home Sitting Registration

Name:*
Address:*
E-mail:*
Home Phone:
-
Cell Phone:
-
Work Phone:
-
Pet Information
Name of Pet(s)
Breed(s)
Color(s)
Age(s)
Gender(s)
Are your dog(s) spayed or neutered?*
Instructions
Feeding Instructions (Meals/Snacks and Location of)
Hiding Places:
Would you like the Mutt Hutt to bring in your mail/newspapers?
House Key?
Daily Routine:
Additional Info
Medical History:
Current Medications:
Allergies:
Are your pets vaccinated? (Proof will be required at consultation)
Is your pet micro chipped?
Does your pet have any known history of biting, scratching or running away?
If yes, please explain in detail.
Does your pet get along with other pets?
If you answered no, please explain in further detail.
Pet Emergency Medical Information
Name of veterinarian:
Vet Address:
Vet Phone:
-
Name of emergency veterinary clinic:
Emergency Vet Phone:
-
Emergency Vet Address:
Emergency Contact
Relationship
Emergency Contact Phone:
-
Home Emergency and Security Info
Do you have a security system?
If Yes, please advise your company that you are using our service!
Password? (Alarm info can be provided in person during your consultation if preferred)
Where is the nearest phone?
Do you rent or own your residence?
Does anyone else have access to your property during your absence (housekeeping, handyman, landlord, gardener, neighbor, relative or friends)?
Do you have homeowner / liability insurance that would cover your home in an emergency, or injuries caused, in the event of bites, scratches, mauls, etc?
Additional Info
Melissa’s Mutt Hutt LLC will use all reasonable efforts to prevent harm to your pet and to protect others from harm caused by your pet. You are responsible in case your pet is involved in an altercation with another pet or human, other than for gross negligence of Melissa’s Mutt Hutt. Some of these matters may be covered by your Homeowners or Renters Insurance, however regardless of whether you have such insurance, you are responsible for any damages caused your pet.
Initials:
In case of emergency, we give you permission to authorize emergency medical care for our pet(s) as deemed necessary by a veterinarian, and we will be responsible for such payment of care.
Please note MMH does walk in the rain, and we need 24 hours notice if you would like to cancel a walk or you will be charged. Our services are guaranteed (if you are not satisfied, you do not pay) and daily detailed notes will be made by our trained staff.
Payments for all services are due at the time of booking by Visa, MasterCard, Discover Card and Venmo and all invoices are billed electronically and require a credit, debit or Venmo account on file.
Date:
Signature (enter your name):

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