Pet Sitting Application

Name:

First Last

Address:

Street Address Address Line 2 City State ZIP Code

Home Phone:	Cell Phone:	Work Phone:

Emergency Contact (other than owners):

First Last

Phone:

Location of Extra Key:	Alarm Deactivation Code:

Alarm Activation Code:	Alarm Company Name:

Alarm Company Phone:

What Kind of Pets Do You Have?

Additional Duties (please check those you would like to request):

Bring in mail/papers
Put out trash/recycling
Water plants
Other

Pet Information:

Please complete for each pet (up to 5).

Pet #1 Name:

Breed:	Color:

List

Sex:	Birthday:

Weight:

Is the animal spayed or neutered?

Yes
No

Rabies tag #:

Date rabies shot expires:

How old was the animal when you got them?

Pet #2 Name:

Breed:	Color:

List

Sex:	Birthday:

Weight:

Is the animal spayed or neutered?

Yes
No

Rabies tag #:

Date rabies shot expires:

How old was the animal when you got them?

Pet #3 Name:

Breed:	Color:

List

Sex:	Birthday:

Weight:

Is the animal spayed or neutered?

Yes
No

Rabies tag #:

Date rabies shot expires:

How old was the animal when you got them?

Pet #4 Name:

Breed:	Color:

List

Sex:	Birthday:

Weight:

Is the animal spayed or neutered?

Yes
No

Rabies tag #:

Date rabies shot expires:

How old was the animal when you got them?

Pet #5 Name:

Breed:	Color:

List

Sex:	Birthday:

Weight:

Is the animal spayed or neutered?

Yes
No

Rabies tag #:

Date rabies shot expires:

How old was the animal when you got them?

Veternarian:

Name

First Last

Phone

How long is your animal left alone during the week?

Where are the animals during the day? (crate, kitchen, backyard):

Is your animal house trained?

Yes
No
So So

How does your animal react to strangers?

Feeding:

What kind of food(s) does your animal eat?

When does your animal eat?

Special feeding instructions:

Medication:

Is your animal on any medications that must be administered?

Yes
No

If yes, please describe the medication procedures including name, dosage, and where it is kept.

All Animals:

Does your animal have a favorite game?

Does your animal have a favorite hiding place or places?

Where do you keep your collar, leash, food, toys, scooper?

Does your animal have favorite toys?

Is there something that will bring your cat out of hiding (the sound of the can opener or treat jar, for exaple)?

Traits:

Please answer the following brief questionnaire about your animals. It will help us to better care for him/her:

Is friendly with other animals?

Yes
No

Likes new adults?

Yes
No

Likes children?

Yes
No

Dogs:

Does your dog need a special harness or choke collar for walks?

Yes
No

Must stay on leash during walks?

Yes
No

Is allowed in the house?

Yes
No

Is allowed to have treats?

Yes
No

Is prone to digging?

Yes
No

Is prone to chewing?

Yes
No

All Animals:

Is fearful of noises or other things?

Yes
No

Obeys basic commands?

Yes
No

Has bitten people or other animals?

Yes
No

Has shown other aggression?

Yes
No

Likes to be petted?

Yes
No

Cat Questions:

Is your cat allowed outdoors?

Yes
No

Likes to be held?

Yes
No

Declawed?

Yes
No

Tries to escape?

Yes
No

Will not eat when stressed?

Yes
No

Prone to hairballs?

Yes
No

Skittish with strangers?

Yes
No

Uses the litter box reliably?

Yes
No

Please indicate anything else about your animal's habits or behavior that would be useful to us in providing care.

*

I agree that all of the information on this application is true to the best of my knowledge.

Call Us at (913) 669-5355

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