Waggers Online Paperwork

Name:
Email:

Address:
City:
ZIP:
Personal Phone:
Work / Cell:

When you are traveling, we like to ensure that we have 2 contacts, one of which should be local. Are you able to provide these contacts?
YesNo

Please provide information for ALL pets in these next few sections. If there are different species (for instance) cats and dogs, please specify who is who and their age. For example 'George 9 (dog), Fluffy 2(cat)'

Name:
Type:DogCatOther

Breed:
Age:
Have your pet(s) ever bitten someone or are overly aggressive? (Please explain):
Unique Characteristics (hiding places, fears, favorite treats, etc.):
Feeding Amount/Schedule:
Location of food/Supplies:
Health Concerns/Medications:
Walking/Potty Schedule:
Social Behavior:
Are your pets required vaccinations up to date?YesNo
Are your pets Flea, Tick or Heartworm treatments up to date?YesNo

Name:
Address:
City:
Zip:
Phone:

The Home Alarm Code and Password:
Location of Main Water Shut Off:

Would you like us to provide the following services while we are in your home?
Bring in Mail/PackagesPlants WateredBlinds RotatedTake out TrashOther

At Waggers Pet Sitting we take the health and wellbeing of your pet/s as seriously as we do that of our own pets, if you are planning on a vacation away from home it is very important that you contact your veterinarian and let them know that Waggers Pet Sitting will be taking care of your pet and to leave a credit card on file with your veterinarian in case your pet should need treatment whilst you are away. We will do what we can to attend the specified veterinarian but should they be unavailable we will take your pet to an alternative. Any charges incurred by Waggers should be paid in full within 3 days of your return. In the event that treatment is required your signature below gives the Waggers sitter authorization to act on your behalf in cases of emergency should we be unable to contact you for any treatment as deemed necessary by that veterinarian, (excluding euthanasia) up to the amount of $

MEDIA RELEASE: We would like to request your permission to use any images/videos we may take of your pets during our visits with them. Your name and any personal information such as location etc. would NOT be displayed.

I grant permission and the right for Waggers Pet Sitting to take photographs/video of my pet/s, to copyright and publish the same in print or electronically for purposes including advertising, illustration, web content, and social media.
GRANTDENY

I can confirm I have read, understand, and agree to the Wagger Pet Sitting Pricing

By checking this box I am confirming that I fully understand the contents of this agreement and I take full responsibility for the payment of contracted services with Waggers Pet Sitting in advance of service commencement. I understand, agree to, and will abide by the policies as set in the Waggers Pet Sitting Service Agreement.