DaPetLady Dog Service Form

             Need a Pet Sitter or House Sitter
                just fill out the form below:

• email it to DaPetLady at: dapetlady@gmail.com
• Copy and Paste it into your word document, print it, then fax it to: [562] 683-3000
• Call or Text [562] 756-1556 for your FREE 1st intial introduction visit....[be sure to have this form filled out]

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

                                                        DOG INFORMATION SHEET

Client Name: ________________________________________________________

Dog's Name: _____________________ _______________________________________

Age: [1] ______[2]_________[3]_________[4]__________[5]__________[6]_________

Breed: __________________________________________________________________

Color/Markings: _________________________________________________________

Sex: M or F _____ Neutered / Spayed ____________ Rabies tag #: __________**

Date rabies shot expires: _______________________________

Feeding:

What kind of food/s does your dog eat? _________________________________________

When does your dog eat? ____________________________________________________

Where should food be placed?_________________________________________________

What food goes to each dog?__________________________________________________

Should I wait while your dog eats and clean up or can the food be left out overnight? _________________________________________________________________________

What can I do if your multiply pets compete for food? ______________________________

Other?????_________________________________________________________________

_____________________________________________________

__________________________________________________________________________________________________________

Medication: Is your dog on any medications that must be administered? If yes, please describe the medication procedures including name, dosage and where it is kept.

Where is medication? ___________________________________________________

At what time[s] each day should the medication be given?____________________________

How? __________________________________________________________________

_____________________________________________________________________________________

____________________________________________________________________________________

Other:

Does your dog have a favorite game?____________________________________________

Does your dog have favorite hiding places? _______________________________________

___________________________________________________________________________

Where do you keep your collar and leash? ________________________________________

__________________________________________________________________________

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

________________________________________________Where is it?________________

Veterinarian Name and #_____________________________________________________

_______________________________________________________

Traits:

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

Is your dog friendly with other dogs: YES / NO Likes new adults: YES / NO

Likes children: YES / NO Likes being on a 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

Is fearful of noises or other things: YES / NO Obeys basic commands: YES / NO

Has bitten people or other dogs: YES / NO Has shown other aggression: YES / NO

Please indicate anything else about your dog's habits or behavior that would be useful to us in providing care: ___________________________________________ 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 Pet Sitting 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 Pet Sitting unless arising out of negligence.

4. DaPetLady Pet Sitting shall not be held responsible for the loss, injury or death of any pet that the client has left outside, or has instructed DaPetLady Pet Sitting 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: ______________
                                     [Client]
Print Name:_______________________________________________________________
** All dogs must have current Rabies shots and be licensed in order to be walked by DaPetLady’s Pet Sitting service.