Pet Care/Home Sitting Registration

Name:*
Address:*
E-mail:*
Home Phone:
-
Cell Phone:
-
Work Phone:
-
Pet Information
Name of Pet(s), Breed(s), Age(s), Gender(s)
Instructions
Meals and Snacks:
Location of Food/Snacks:
Hiding Places:
Would you like the Mutt Hutt to bring in your mail/newspapers?
Is your mailbox locked?
If yes, where is the key?
Take out garbage?
If yes, when and where?
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?
Where is the nearest phone?
Gas Company Name:
Gas Company Phone:
-
Location of Gas Shut-Off Valve:
Water Company Name:
Water Company Phone:
-
Location of Water Valve Shut Off:
Electric Company Name:
Electric Company Phone:
-
Location of Breaker Box:
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)?
Gardener or Housekeeper dates & times:
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 pet sits are due the day pet sit begins. Pre-paid non-refundable discounted dog walking booklets must be used on set schedule at least twice a week. Invoices are billed electronically. We accept checks or cash and payments should sent to Melissa's Mutt Hutt at 4208 Highland Avenue, Manhattan Beach, CA 90266
Date:
Signature (enter your name):