Date - Passion Fur Paws Pet Care

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(306) 717-8942

PassionFurPaws@hotmail.com www.PassionFurPawsPetCare.com

In-Your-Home Pet Care/Dog Walking Questionnaire

Pet(s) Name:___________________________ Date: ___________________

Owner Information:

Name:_________________________________________

Address:________________________________________

Home Phone:________________ Work Phone: _________________ Cell Phone: ______________

Email: __________________________________________

Partner/Spouse Information:

Cell Phone: ____________________ Work Phone: ___________________

Email: ________________________________________

Should I be expecting anyone at your home or in your home during your absence? Y / N

If yes, who?

Emergency Contacts:

The following contacts should be able to make a decision about the care of your pets, or home, if we cannot reach you in an emergency.

Name: ___________________________ Relation: _________________________

Phone: ___________________________

Do they have a key/security code to your home? Y / N

Name: ___________________________ Relation: _________________________

Phone: ___________________________

Do they have a key/security code to your home? Y / N

Veterinary Information:

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Name of vet clinic: ________________________ Preferred vet: ___________________________

Address: __________________________________ Phone: ______________________________

(There is space provided for 2 pets, if more pets are being cared for please use reverse side of next page for additional pets and answer all questions appropriately)

Pet Profile

Name: _______________ Species/Breed: _____________________ Age/DOB: _______________

(Circle one): Male Female (Circle one): Spayed Neutered Intact

Color(s): _____________________ Distinguishing features: _________________________

Micro chipped: Y / N Microchip ID: ____________________________

City License Number: ___________________________

Feeding Instructions: (please include Brand, Frequency, Amount and any further feeding instructions)

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Pet Profile

Name: _______________ Species/Breed: _____________________ Age/DOB: _______________

(Circle one): Male Female (Circle one): Spayed Neutered Intact

Color(s): _____________________ Distinguishing Features: _________________________

Micro chipped: Y / N Microchip ID: ____________________________

City License Number: ___________________________

Feeding Instructions: (please include Brand, Frequency, Amount and any further feeding instructions)

________________________________________________________________________________

________________________________________________________________________________

________________________________________________________________________________

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Inclement Weather Policy

(applies to dog walking only)

-In the best interest of both your dog and Passion Fur Paws Pet Care, and depending on the dogs’ age, health, coat, endurance and general condition, walks will not be occurring if extreme weather

(thunder storm, snow storm, extreme heat, etc.) is predicted and/or occurring.

-As weather conditions should not impact a dog’s physical health or well being, a bathroom break will be provided and the rest of the time will consist of mentally stimulating indoor activities.

Please list any indoor activities your dog enjoys:

Cancellation Policy:

-Minimum 24hours cancellation notice is required for all pet sitting/dog walking bookings. Less than 24hours notice may result in full booking charge. In the case of unforeseen circumstances that require cancellation, exception can be made to charge.

-Passion Fur Paws Pet Care is required to report any bite incidents to authorities. I acknowledge I am responsible for medical expenses and damages resulting from an injury to any person or animal caused by my pet(s).

Dog Requirements

(applies to dog walking dogs only)

**I (pet owner) understand that in no way is Passion Fur Paws Pet Care responsible if my dog becomes sick directly relating to my dog not being up to date on required vaccinations of my(pet owner’s) own choice or negligence.

Sign: ____________________________

**All Dog walking dogs MUST be up to date with required City of Saskatoon pet license.

If I(pet owner) fail to renew my dog’s city license and a ticket is issued as a result while your dog is in Passion Fur Paws Pet Care’s care I will not hold Passion Fur Paws Pet Care responsible and agree to pay the fine myself(pet owner)

Sign: ____________________________

Behavior:

(disregard if booking cat sitting only)

Has your dog(s) ever shown signs of aggression towards a person or other animals/dogs

(growling, lunging, barking, snapping, contact bites, etc.)?

-If yes, please explain:______________________________________________

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-Are there any behavioral concerns or issues (resource guarding behaviors, fear aggression, storm phobias, noise phobias, separation anxiety, etc)?

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Medications Required:

Name: _________________________ Reason for Medication: _________________________

Dosage: ________________________ Frequency: ___________________________

Medical:

-Are there any major medical conditions (past or present)?

-Are there any limited or impaired sensory functions (deaf, blind, etc.)?

-Are there any food allergies or restricted foods?

Please tell us where you keep the following items and any applicable instructions:

-Leash -Collar/Harness

-Crate

-Pet waste disposal supplies

-Treats

-Indoor trash can

-Outdoor trash can

-Paper/Pens

-Cleaning supplies

-Pets Food/Medications

Anything else you feel I need to know about your pet(s) please use this space to provide those details:

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