320 N Academy, Ste 302, Colorado Springs, CO
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320 N Academy, Ste 302, Colorado Springs, CO 80909 Office# 719-302-4562 Walks and Wiggles Keeping your pets happy!!!!!!!! www.walksandwiggles.com office@walksandwiggles.com Part of PerfectCare at Home Group 320 N Academy, Ste 302, Colorado Springs, CO 80909 Office# 719-302-4562 www.walksandwiggles.com Pet Service Contract Tell Us About You: Name: __________________________________________________________________ Address: ________________________________________________________________ City, State, Zip:____________________________________________________________ Mailing Address: (if different from above)______________________________________ ________________________________________________________________________ Telephone Numbers: Home: ____________________Work:____________________Cell: ___________________ Primary Email Address: _____________________________________________________ How Did You Hear About Us?:_______________________________________________ Pet Information: Name(s):_____________________________________________Breed/Type:_______________ Age(s):______________Description(s):______________________________________________ o Male Spade or Neutered? Yes _________ No _________ o Female Special Feeding Instructions (include times and amounts): ______________________________________________________________________________ ______________________________________________________________________________ Is this pet strictly indoors/outdoors or both: __________________________________________ If pet requires being taken outdoors, how often and for how long?:_______________________ Does your pet have a favorite hiding place either indoors or outdoors? ______________________________________________________________________________ ______________________________________________________________________________ Part of PerfectCare at Home Group 320 N Academy, Ste 302, Colorado Springs, CO 80909 Office# 719-302-4562 For Dogs Only: Does your pet know any commands? (sit, down, stay, come): _____________________________________________________________________________________ _____________________________________________________________________________________ Has your pet ever bitten a human being or another animal?: ____________________________________ If yes, what were the circumstances? _____________________________________________________________________________________ _____________________________________________________________________________________ What are some of your pet’s favorite activities? _____________________________________________________________________________________ _____________________________________________________________________________________ Does your pet(s) have a favorite toy? ______________________________________________________ May we give your pet(s) toys to play with?__________________________________________________ Does your dog wear a doggie coat in wet/cold weather? Yes ______________ No ________________ How does your dog react in rain, ice or snow and does this affect the way he/she takes a potty break? _____________________________________________________________________________________ _____________________________________________________________________________________ For Cats Only: Do you have a special way you call your cat(s)? ______________________________________________ What is your pet(s) favorite toy? __________________________________________________________ Does your cat(s) use a litter box? Yes _______________ No _________________ Is your cat declawed? Yes _______________ No _________________ Additional Instructions that may be helpful to your pet sitter: _____________________________________________________________________________________ _____________________________________________________________________________________ Locations Of Items: Location of food, treats, medications, leashes, litter and litter box(s) cleaning supplies, and waste pick up bags? _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ Instructions for dog potty and cat litter box clean up, and desired location of disposal of waste products: _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ Part of PerfectCare at Home Group 320 N Academy, Ste 302, Colorado Springs, CO 80909 Office# 719-302-4562 In Case of Emergency: What is the location of the following items? Main circuit breaker: ___________________________________________________________________ Main water shut off: ____________________________________________________________________ Main gas shut off: ______________________________________________________________________ Flash lights: ___________________________________________________________________________ Contact Information: Under what circumstances do you wish to be contacted while you are away from home? Missing pet __________Sick pet __________ Household emergency _________Any_________________ Local Emergency Contact: Name: ________________________________________ Tel #___________________________________ Dates of Service: Date From To SUNDAY MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY SATURDAY Pay Agreement: Walks & Wiggles requires payment prior to pet care being started. We accept payments in the forms of cash or check. I, ______________________________________(Client’s Name) agree to the above dates of service for the total amount of $______________________. Any additional charges that are incurred are due immediately after services are completed. ___________________________________________________________ Client’s Signature Part of PerfectCare at Home Group ___________________ Date 320 N Academy, Ste 302, Colorado Springs, CO 80909 Office# 719-302-4562 AUTHORIZATION TO OBTAIN MEDICAL CARE FOR MY PETS During my absence, I ____________________________, hereby authorize Walks & Wiggles, to seek medical treatment for my animal(s). I (client) will remain responsible to pay all medical expenses whether directly to the provider of medical treatment or to designated sitter agent within five days of the date on which such expenses are incurred. Signature: _____________________________________________ Date: ___________________ AUTHORIZATION TO GIVE SIMPLE MEDICATIONS TO MY PET(S) ACCORDING TO MY DIRECTIONS IN MY ABSENCE Signature: _____________________________________________ Date: ___________________ AUTHORIZATION FOR ADMISSION TO MY PRIVATE RESIDENCE OR RENTAL PROPERTY IN ORDER TO PROVIDE CARE TO MY PET(S) Signature: ____________________________________________ Date: ___________________ Part of PerfectCare at Home Group 320 N Academy, Ste 302, Colorado Springs, CO 80909 Office# 719-302-4562 VET NOTIFICATION Dear Dr. _______________________, this is to inform you that I have contracted the services of Walks & Wiggles. Walks & Wiggles, will be caring for my pet(s) from ________________ to ____________________, or ongoing throughout the year. Should my pet(s) require medical attention while under the care of my designated pet sitter/agency, I authorize you to extend treatment. I will be responsible for payment of your veterinary service to my pet(s). Pet Owner’s Signature: _____________________ Date: _____________ Exclusions: __________________________________________________________ __________________________________________________________ __________________________________________________________ Names of pet(s): ____________________________________________ Part of PerfectCare at Home Group 320 N Academy, Ste 302, Colorado Springs, CO 80909 Office# 719-302-4562 TERMS AND CONDITIONS 1.) Walks & Wiggles, is authorized to perform pet care and related services as outlined in this contract. Walks & Wiggles, is also authorized by clients signatures above and below to seek emergency veterinary care for the pets with a release form. The company and Walks & Wiggles, cannot be held liable for cost related to transportation, treatment or expenses. Should the clients specified veterinarian be unavailable, the company and Walks & Wiggles, are authorized to approve medical and/or emergency treatment (excluding euthanasia) as recommended by a veterinarian. Client agrees to reimburse company/pet sitters for all expenses incurred for medical, travel, food or cleaning supplies needed for the pet welfare. 2.) In the event of inclement weather, natural disaster or national emergency, the designated pet sitter is entrusted to use his/her best judgment in caring for the client’s animals and home. The pet sitter and Walks & Wiggles, shall not be held responsible for consequences related to any of his or her decisions. However, the sitter and/or company shall make every effort to provide the best possible care as soon as possible. If a neighbor or friend has been provided as a backup contact, the company shall make every effort to contact said persons to check on clients animals. 3.) In the event of a personal emergency or serious illness involving the designated pet sitter or company, the client authorizes the pet sitting company to contact and arrange for another person to stand in for the sitter and fulfill the designated tasks as set forth in the service agreement. Every attempt shall be made to inform the client. All guidelines shall apply to stand in sitter and sitter cannot be held responsible for problems or expenses related to the care of client’s pet(s). 4.) The pet sitter and company agrees to provide the best possible services, as stated and agreed to in the contract, in a reliable and responsible manner. We as a company will do our very best to provide a caring spirit in a trustworthy manner. In consideration of the services and as an express condition thereof, the client expressly waives and relinquishes any and all claims against said sitter or company except those arising out of negligence or willful misconduct on the part of the pet sitter or company. 5.) The client has been made aware of and fully understands that prompt payment for contracted services is required on or before the first day of scheduled service. Payment is accepted in cash or check. (A client may date the check any time between the first and last day of service). All checks are made out to Walks & Wiggles. If further charges are applied during client’s absences that directly relate to their pet(s) needs, an additional invoice will be provided for the client’s convenience. The client may send the balance through the mail to Walks & Wiggles at 320 N. Academy Blvd, Suite 302, Colorado Springs, CO 80909. Unpaid balances will be charged a $25.00 late fee after 14 days from last day of service. Part of PerfectCare at Home Group 320 N Academy, Ste 302, Colorado Springs, CO 80909 Office# 719-302-4562 6.) I, the client(s), have received and reviewed the service contract provided by Walks & Wiggles, and understand the contents and conditions therein. Pet owner’s signature: ____________________________________________ Date: ______________ Walks & Wiggles/Pet sitter: _______________________________________ Date: ______________ Walks and Wiggles www.walksandwiggles.com office@walksandwiggles.com Part of PerfectCare at Home Group 320 N Academy, Ste 302, Colorado Springs, CO 80909 Office# 719-302-4562 DOG WALKING CONTRACT Effective Date: _________________________________ Walker’s Name: ________________________________ Of Walks & Wiggles & Client’s Name: _________________________________ Address: ______________________________________________________________________ City: _____________________________State: ______________________Zip: ______________ Dog(s): Name(s): ________________________________________________________________ Dog(s): Breed(s): ________________________________________________________________ The above mentioned parties do hereby agree as follows: The Client hereby wishes to hire the Walker and the Walker agrees to undertake the services under the terms and conditions as written in the Dog Walking Contract. Including the Client’s Information Sheet, the Pet Information Sheet all of which are attached, shall become part of the overall Dog Walking Contract. Any reference to pet(s) in this contract shall refer to those specific pet(s) listed on the Pet Information Sheet. Starting on ______________________________, ______________________________ will provide Dog Walking Services in the following manner: The Walker shall notify The Client of any occurrence regarding to the dog(s) which may be important to the care and well-being of the dog(s). The Walker shall perform the agreed-on services in an attentive, reliable and caring way and the Client does hereby agree to provide all the necessary information to assist the Walker in this performance. The Walker shall supply and also be equipped with a pooper scooper including waste bags and will promptly remove all dog feces from all public grounds. The Owner will provide suitable collars and leads that are approved by the Walker as well as a jacket and muzzle if required. Part of PerfectCare at Home Group 320 N Academy, Ste 302, Colorado Springs, CO 80909 Office# 719-302-4562 If the dog(s) has unsupervised access to the outdoors the Walker shall not be liable for any mishap of any nature regarding the dog(s). The walker shall not be obligated to perform any other duties except those that are specified in the Client’s Information Sheet and Pet Information Sheet. The walker shall be paid the amount of $_________per walk. A monthly retainer of $________ shall be payable in advance by the 5th day of each month during the duration of this Dog Walking Contract. This Contract shall terminate automatically on _____________________________. The Walker is an independent contractor with respect to this Dog Walking Contract and is not an employee of the Client and the Client will not provide any fringe benefits, such as health insurance and paid vacation for the benefit of the Walker. The Walker hereby warrants to keep safe and confidential all the Client’s keys, remote control entry devices, access codes and any other personal information of the Client and to return all items to the Client at the end of the contract period or immediately upon request by the Client. The Walker hereby accepts no liability for any breach of security or loss of or damage to the Client’s property if any other person is given access to the property during the term of this Dog Walking Contract. The Walker is released from all liability that is related to any transporting the dog(s) to and from any veterinary facility for any necessary medical treatment and incurred medical expenses. The Walker is released from all liability of injury to the dog(s) caused by other dog(s) or animal(s) that are not under the control of the Walker. Under most circumstances the Client shall be held liable for all medical expenses and damages resulting from an injury to the Walker caused by the dog(s) as well as damage to the Owner’s property. This Contract may be terminated by either party submitting a written notice to the other party or may immediately be terminated under the following circumstances. If there is a failure to make a required payment when due, in the event of bankruptcy by either party or the failure to make available or deliver the Dog Walking Services in time and manner as described in the Contract. Any notice that is issued under this Contract by either the Client or the Dog Walker may be delivered in writing or by United States postal mail service, registered or certified with the postage prepaid and a return receipt requested. All mailed correspondence shall use the addresses listed above for each party of this contract. If one or more of the provisions of this Contract are to be found invalid for any reason that shall not affect any other provision of the Contract. The Contract will then exist as if that provision never existed. This Contract hereby supersedes any other prior understanding, written or oral agreement between the parties listed above regarding the subject matter of this Contract. This Contract contains the entire agreement between the Client and the Dog Walker and no oral Part of PerfectCare at Home Group 320 N Academy, Ste 302, Colorado Springs, CO 80909 Office# 719-302-4562 representations or modifications shall be put into force except by a written amendment that is agreed to by both parties. If any legal action is brought to enforce or interpret this Contract, the prevailing party will be given reasonable attorney’s fees by the other party in addition to any additional relief the other party may be entitled to. Applicable Law This contract shall be governed by the laws of the State of ________________________, in _________________________________County and any applicable Federal Law. _____________________________________________________ Signature of the Client __________________ Date ____________________________________________________ Signature of the Walker __________________ Date Part of PerfectCare at Home Group
