Disley Hound and Home Cat or Small Pet
Company Form
Please complete and sign this form prior to your cat or small pet service commencing.
If you can please answer the questions as fully as possible this will ensure we are able to
provide both you and your cat or small pet the very best service.
We will arrange to pop out and met you and your cat or small pet to discuss what type of
pet care you are interested in. There is no obligation, once we have met you may decide
you don't wish to take up the Disley Hound and Home services, or we may feel that we are
not suitable for your pet.
Please either email or post the completed form to us in advance OR give it to us at our 'pet
care needs' meeting. We will have spare forms with us if you do not have a printer.
Contact Details
Cat / Small Pet name:
Your name:
Address:
Telephone no:
Mobile no:
Work no:
Email address:
Emergency contact name (other than you):
Emergency contact address:
Emergency contact telephone no:
If relevant - Is your cat / small pet chipped?
Yes
No
If yes, what is your cat / small pet registered chip no:
What is the telephone no. of the company your cat / small pet is registered with?
Your vets name:
Vets address:
Vets telephone no.
If your cat / small pet urgently needs to see a vet whilst in our care we will endeavour to take
it to your own, usual vet. If this is not possible we will take it to Knox and Devlin, 10 Bridge
Street, Whaley Bridge, High Peak, Derbyshire, SK23 7LR.
Are you happy with this arrangement?
Yes
No
Your Cat / Small Pet Information
Type of cat / small pet:
Age:
Date of birth - if known:
Sex:
Male
Female
Has your cat / small pet been neutered?
Yes
No
Is your cat / small pet up to date with all its vaccinations/boosters: Yes
No
If relevant, is your cat / small pet up to date with its worm treatment?
Yes
No
If relevant, is your cat / small pet up to date with its flea & tick treatment? Yes
No
Does your cat / small pet have any medical conditions?
Yes
No
If yes, please state:
Will we be required to administer any medicines whilst your cat / small pet is in my care?
Yes
No
If yes, please state:
PLEASE NOTE: We do not have veterinary skills so only basic medicines will be administered
i.e. drops into food.
Does your cat / small pet have medical insurance? Yes
No
If yes, please provide contact details:
Does your cat / small pet have any particular behavioural problems?
Yes
No
If yes, please state:
Are you happy for a photo of your cat / small pet to feature on our website?
Yes
No
Service & Prices
Pet visit 1 x 15 min £5
Pet visits 2 x 25 min £12
Small pet boarding £4 per day
TERMS & CONDITIONS

Number of visits required can be discussed at our meeting.

Services are provided all year round, please note that Christmas Day, Boxing Day and
New Years’ Day are all charged at double price and Bank Holidays charged at 1 ½
the price.

You will provide your cat / small pets usual food, treats, bowls, access to water, toys
etc.

If we are unable to contact you or your emergency contact whilst your pet is in my
care then we reserve the right to consult a vet and make a decision which is in the
best interests of the animal.

Cancellation of any service must be made 24 hours before the service is due to start
or full payment will be charged to you.

If we have to cancel due to any unforeseen circumstances, such as illness, we will
endeavour to give you as much notice as possible.

Notice of any holidays will be given well in advance allowing you to make other
arrangements.

If you will not be at home when we visit your small pet, then we will be happy to look
after a key or collect it from a neighbour.

Disley Hound and Home is not held responsible if your cat / small pet gets out of your
house / garden / enclosure / hutch etc if it has not been made secure by the owner.

Any vet bills incurred are payable by the pet owner
PAYMENT:

CASH: All ad hoc bookings must be paid, in cash, on visit of your small pet.

Regular customers: Will be invoiced at the end of each month. Payment is by cash or
cheque.

CHEQUE: Payable to Rebecca Burns and can we request you write your address
and cheque guarantee card number on the back.

You can simply leave your cheque for collection at your next dog walk OR post
cheques to the following address: 52 Goyt Road, Disley, Stockport, Cheshire,
SK12 2BT.

Prompt payment is gratefully received. Payment to be no later than 14 days after
invoice date. If payment is not received by this date then 20% of the bill will be
added to the total for each day that payment is overdue.
If your cheque is returned unpaid by the bank, we will pass on to you the current
bank charge for failed cheque credits (currently approx. £8) this will be in addition to
your outstanding payment.
I agree to Disley Hound and Home terms and conditions.
Signed:
Print name:
Date:
Please give your completed & signed form to us at our meeting,
OR email it to: equiries@disleyhoundandhome.co.uk (to be signed by you at our
meeting),
OR post your completed & signed form to: Disley Hound and Home, 52 Goyt Road,
Disley, Stockport, Cheshire, SK12 2BT