DaPetLady Pet Sitting Services
Please fill out the form below and we will
assist you as soon as possible. You can:
- Email: dapetlady@gmail.com
- Fax: [562] 683-3000 [highlight, right click COPY, open up your Word Program, right click PASTE, then fill it out and PRINT and FAX
- CALL: [562] 756-1556 to make an appointment
___________________________________________________ DaPetLady Pet Sitting
[mailing address]
P O Box 265
Los Alamitos, CA 90720(562) 756-1556
DaPetLady@gmail.com
http://www.dapetlady.com/
Pet Sitting for all Long Beach and Surrounding Areas
CAT INFORMATION SHEET
Client Name: _______________________
Cat's Name[s]: ______________________________________
Age: [1] [2] _____[3]__________[4]________________
Breed: ____________________________
Color/Markings: _______________________________________
Sex: M or F _____________________________________Neutered / Spayed ______________________
Rabies tag #: __________
Date rabies shot expires: ________
Feeding:
What kind of food/s does your cat eat? _______________________________________________________
______________________________________________________
When does your cat eat?__________________________________________________________________
Special feeding instructions:_____________________________________________
_________________________________________________________________
_________________________________________________________________
Medication: Is your cat on any medications that must be administered? If yes, please describe any medication procedures and the name and dosage of the medication as well as where it is kept. __________
_______________________________________________________________________
Other : Is your cat allowed outdoors? Yes No Does your cat have favorite toys? Yes No
Does your cat have favorite hiding places? Yes No
Is there something that will bring your cat out of hiding (the sound of the can opener or treat jar, for example)? ______________________________________________________________
Traits:
Please answer the following brief questionnaire about your cat. It will help us to better care for him/her:
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
Fearful of loud noises? YES / NO
Likes to be petted? YES / NO
Likes to be held? YES / NO
Has the cat bitten anyone? YES / NO
Other signs of aggression? YES / NO
Please indicate anything else about your cat's habits or behavior that would be useful to us in providing care:_________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
House Services:
Where should I place the daily mail? __________________________________________
Do you need me to take out the trash? __________________
If the phone rings, should I answer it? ______________________
Should I turn off and on lights?__________________
The following agreement will remain valid for future service[s], with the exception of any agreed upon changes in fees and frequency or total number of visits. The parties agree as follows:
1. Number of visits per day _________________Total visits: ______________Fee:_____________
2. Any additional visits requested or necessary shall be paid for at the agreed rate: Any additional necessary costs such as food, veterinary visits, and the client shall pay for in full to include all supplies.
3. DaPetLady agrees to provide the services stated in this contract in a reliable and trustworthy manner. In consideration of these services and as an express condition thereof the client expressly waives and relinquishes any and all claims against DaPetLady unless arising out of negligence.
4. DaPetLady shall not be held responsible for the loss, injury or death of any pet that the client has left outside, or has instructed DaPetLady to allow outside.
5. The client fully understands the contents of this contract, and by signing below takes full responsibility for prompt payment within 3 days of completion of services contracted.
A late charge of $5.00 may be applied if payment is not received after 10 days of service.
In the event of cancellation of scheduled service, a _________cancellation fee may be assessed.
Signature: ________________________________________________Date:__________________ By signing this contract you agree to all terms and conditions.
Print Name:______________________________________________________________________
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