Valerie’s Petsitting Service Contract
Name:______
Address:______
Home Phone:______
Cell:______
E-Mail:______
Date & Time you are leaving:______
Date& Time you are returning:______
Emergency Contacts:______
Maid/Cleaning services:______
Will anyone else have access to your home while you are away? YES or NO….If yes please list names and do they have keys?______
Do you have an alarm system that I will have to use? YES or NO
If YES…. What is the code and password ______
Describe your pets:
Names: 1)______2)______3)______
Breeds: 1)______2)______3)______
Sex/Altered: 1)______2)______3)______
Feeding instructions for each pet: (Type of food, when to feed and how much) 1)______2)______3)______
Medications: (Name of meds, when to administer, amount, how to administer).
1)______2)______
3)______
Are all the dogs/cats in household vaccinated against rabies? YES/NO
Please list any history of illness:
Please describe your pets behavior with other animals/people?
Special Instructions
Bring in mail?______
Water plants?______
Garbages?______
Any other instructions please list here:
Fees, Policies and Procedures
*Fees: $50(fifty dollars) a day… Pricing subject to change.
*Payment: Valerie will accept cash and checks… Checks should be made Payable to: Valerie Nommensen. 50% of payment is due prior to you departing… This 50% is NON-REFUNDABLE. This is because I have saved this time for you and your pets and will not be able to book any other commitments. The other 50% is due the day you return.
*Returned check charges: There will be a $35 dollar fee for all returned checks... Clients are responsible for all costs of collections.
I, ______have read, understand and agree to the policies and guidelines for Valerie’s Petsitting Services. I further understand that a copy of this form will be kept on file for documenting purposes. All policies, fees and guidelines are subject to change at Valerie’s discretion.
Pet Owners Signature ______Date______
Please leave a credit card # or blank check on file for emergencies______
If you do not want to leave credit card # with me please call your local vet and leave it with them.
Veterinarian Authorization
Pet Name(s) ______
Veterinarian______
Phone Number______
Address______
Emergency Contact______
During my absence, Valerie Nommensen is caring for my pets. She has the permission to transport them to you and from your office. I authorize you to treat my pets and I will be fully responsible for All fees and charges and will pay the incurred amount on my behalf upon my return. I further authorize you to give out any information about my pets to Valerie Nommensen. I hold the above animal hospital and Valerie, harmless for any incidents occurring during transport, hospitalization and/or day-boarding.
Name of Owner______
Signature______
Date______