PET SITTING

Name ______________________________ Date _________________________

Address _______________________________________________________________________________________

Phone Numbers ________________________     ___________________________   _______________________

Emergency Contact/Phone # _____________________________________________________________________

Dog’s name:____________________________________________________

Male/female _______ Breed _______________________ Age ________

Spayed/neutered __________ Rabies up-to-date ______  (tag must be on collar for walks) Microchipped ___________

Starting Date ________________________ Starting Time ___________________

End Date ____________________________ Ending Time _____________________

Alarm Code and Instructions _________________________________________________________________________________

Door code _____________ Location of extra key __________________________________________________________________

Is your dog crated?  ____________    What is crate schedule?   ______________________________________________________

Has your dog ever been aggressive in any way to people or other animals?  Food aggression?

__________________________________________________________________________________

Additional duties (include instructions)

Mail ____________________________________________________________________________________________

Water plants  ____________________________________________________________________________________

Put out trash (days and location) ___________________________________________________________________

Miscellaneous ___________________________________________________________________________________

Medication ______________________________________________________________________________________________________

How much and how often? _________________________________________________________________________________________

Special instructions ______________________________________________________________________________________________________

Please use back of form for additional meds

Food ___________________________________________________________________________________________________________

How much and how often? ________________________________________________________________________________________

Special Instructions (toys, likes/dislikes, walking schedule, need to know info, etc  _______________________________________

________________________________________________________________________________________________________________

Please use back of form for additional information

Owner signature _____________________________________ Date ________________________

Veterinary Information and Release Form (must be filled out for all overnights and vacations)

Pet’s name ___________________________________________________________

Age/Sex/Neutered ____________________________________________________

Medical conditions ________________________________________________________________________________________________________

___________________________________________________________________________________________________________

For more than one pet, use back of form

Veterinary office name ____________________________________________________________________________________________________

Address/Phone # __________________________________________________________________________________________________________

If veterinary office not available, second choice:______________________________________________________________________

Address/Phone # ________________________________________________________________________________________________

Would you like to be notified if your pet goes to vet? _________________

I authorize Ashleigh House to seek emergency medical care for _________________.   I understand that I will take full responsibility when I return for payment of veterinary services.

Owner signature :__________________________________________ Date:_________________

Owner’s name (please print):___________________________________________________

Please notify your vet before you leave that Pawsitive Pets may bring your pet in for emergencies, and that you will be responsible for the bill upon your return.  Thank you.