Client Information Form
Name___________________________________ Spouse __________________
Occupations ______________________________________________________
Address __________________________________________________________
Directions to home _________________________________________________
Payment preferences (how client wants to pay) ___________________________
Phone Numbers:
Cell __________________
Work _________________
Other _________________
Email address _______________________________________
Emergency Contact _________________________________________________
Pets:
1 __________________________________________________________
2 __________________________________________________________
3 __________________________________________________________
4 __________________________________________________________
Alarm information __________________________________________________
Special Instructions for House _________________________________________
Location/contact for extra key ________________________________________
WiFi Name ___________________________
WiFi Password ___________________________
Cat Information Sheet
Pet _______________________
Owner ____________________________
Date of birth (or age) _________________________ Breed ___________________
Color ________________________ Distinguishing Marks ____________________
Feeding Instructions ___________________________________________________
____________________________________________________________________
Where is food bought ___________________________________________________
Notes on feeding (fussy, timing, special presentations, water, food areas, etc)
_____________________________________________________________________
Treats and Special Diets (amount) _________________________________________
Health Issues __________________________________________________________
Medications (type, how often, how much, where is it where to buy, how to administer)
_____________________________________________________________________
Behavior (any issues) ___________________________________________________
Favorite toys __________________________________________________________
Favorite hiding places and how to get cat out ________________________________
Allowed outdoors? How to get back in? _____________________________________
Any fears? Propensity to escape? Likes petting? ________________________________
Date of last vaccinations (especially rabies) __________________________________
Dog Information Sheet
Pet _______________________ Owner ____________________________
Date of birth (or age) _________________________ Breed ___________________
Color ________________________ Distinguishing Marks ____________________
Feeding Instructions ___________________________________________________
____________________________________________________________________
Where is food bought? _________________________________________________
Notes on feeding (fussy, special presentations, water, food areas, etc) ____________
____________________________________________________________________
Treats and Special Diets (amount) ________________________________________
Health Issues _________________________________________________________
Medications (type, location, how often, how much, where is it bought?) __________
____________________________________________________________________
Training attained ______________________________________________________
Location of collar/leash/harness __________________________________________
Favorite hiding places __________________________________________________
Favorite game ________________________________________________________
Behavior (any issues?) _________________________________________________
Does dog get along with other dogs? ______________________________________
Exercise (amount, how much?) __________________________________________
Date of last vaccinations (especially rabies) ________________________________
PET SITTING ASSIGNMENT INFORMATION
Client: ____________________________________
Pets: ____________________________________
Date/time of first visit: _______________________________
Date/time of last visit: _______________________________
Number of visits per day: ________________________________
Total number of visits:
Overnight: ________________
Daily visits: ________________
Extra Things I Can Do While You’re Away
☑Clean the bed sheets FREE
☑Collect mail FREE
☐ Clean the bathroom I used $15
☐ Do laundry (wash, dry & fold) $20
☐ Do the dishes (other then what I
$10
used)
☐ Give dog/cat a bath $10 per pet
☐ Watering plants $5
☐ Take out and bring back garbage $7
Where the client can be reached:
Address: __________________________________________
__________________________________________
Phone: __________________________________________
Email: __________________________________________
Verification of client's return Y/N Contact with client during assignment Y/N
Contact method: _______________________________________
Veterinary Release Form
To the veterinarians at the Veterinary Hospital. In my absence, I give total
responsibility for the care of my pets (name below):
1. _________________
2. _________________
To: Name: ________________________
Address: ________________________
Contact numbers: ______________________
When I cannot be contacted immediately, this person will make all decisions regarding necessary
treatment in the event of a medical emergency.
I wish no more than $______ to be spent on any one pet. I do not want treatment to proceed if
there will be permanent disabilities such as:
______________________________________________
(consider head injuries, loss of bowel or bladder control, loss of a limb, blindness)
If any of my pets are diagnosed with a terminal condition and their quality of life is impaired,
this caregiver has full authority to request euthanasia.
If any of my pets dies suddenly, I Do | Do not (circle one) want a post-mortem performed to
determine the cause of death.
In the event of a death, it is my wish:
____ To have a communal cremation done.
____ To have a private cremation done.
Signed: ___________________________ Date: _________________
Name: _________________________
Address: __________________________________
Contact Numbers: __________________________________
