E-mail: wagstowhiskerspetsit@comcast.net
www.wagstowhiskerspetsit.com
Name: ___________________________________________ Home Phone: ________________________________
Address: ___________________________________________________________________________________
Cell Phone: _________________________________ E-Mail: __________________________________________
How we can contact you while you are away: __________________________________________________________
Emergency Contact: ___________________________________________________________________________
Veterinarian Name, Address and phone#: ____________________________________________________________
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Pet(s) Information:
Breed: ___________________________ Name: ____________________________ Age: ________ Sex: ________
Breed: ___________________________ Name: ____________________________ Age: ________ Sex: ________
Breed: ___________________________ Name: ____________________________ Age: ________ Sex: ________
Please list all vaccinations and dates each was administered:
Pet: ____________________ Rabies: _________________ DA2PP: ___________________ FVR: _____________
Pet: ____________________ Rabies: _________________ DA2PP: ___________________ FVR: _____________
Pet: ____________________ Rabies: _________________ DA2PP: ___________________ FVR: _____________
Please list any medical conditions or medication your pet(s) is currently taking: __________________________________
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Where will your pet(s) be kept in your absence (i.e. crate, kitchen, free roam, etc.)? _______________________________
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*Please note: Wags to Whiskers Pet Sitting cannot be held responsible for any injury, disappearance, death or fines of any pets with access to the outdoors.
Please list your pet(s) usual meal times and feeding instructions. ____________________________________________
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What times is your pet(s) generally taken out to relieve him/herself? _________________________________________
Please list names and numbers of anyone who may have access to your home (landlord, cleaning services, neighbor, etc.)
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Notes/other information: _______________________________________________________________________
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Basic Pet Sitting Visit - vacations, business trips, etc.
20 min. visit ($18) 40 min. visit ($28)
Feed/water pets Water plants
Short walk (weather permitting) Outdoor playtime
Bring in mail/newspapers Scoop litter boxes (please note above
how/where litter is to be discarded)
Alternate lights/TV/blinds Errands (pet supplies, light groceries. The fee for
this service is $20 + cost of supplies)
Transportation to Vet/Grooming Appointments (The fee for this service is $25/hour)
Work Week Mid-Day Relief Break - $18/20 min. visit
$15/visit if 3 or more visits scheduled per week
Short walk (weather permitting) Outdoor playtime
Errands (pet supplies, light groceries. The fee for this service is $20 + cost of supplies)
Transportation to Vet/Grooming Appointments (The fee for this service is $25/hour)
Total Fees for Services:
_______ visits @ $_______________/visit - Deposit $______________ date received _________
Total fees due upon completion of contracted services $_____________________
Two (2) sets of keys were received by Pet Sitter on ________________________ and shall be returned to
Client on _______________________________.
Two (2) sets of keys were received by Pet Sitter on ________________________ and it is Client's wish for
Pet Sitter to keep a copy of said keys securely on file at Pet Sitter's office for future use in pet sitting
assignments.
_______________ ___________________________________ _______________________________
Date Client signature Pet Sitter signature