Please complete the form below with all the
information that relates to your feathery family
member.
We realize these forms seem lengthy,
however we want to provide the best care possible for our pet
and need all this informatin to complete the job
successfully!
Use
the "TAB" key to move from one
field to the next.
DO
NOT hit the "ENTER" key until you
are ready to submit your completed
form. |
Bold fields are
required |
Pet Owner's
Name: |
|
Pet Owner's Phone
Number: |
|
Pet Owner's Email
Address: |
|
Please list the names,
breeds, color/markings for each bird in your family. Also be
sure to indicate the sex of
each. |
|
|
List names and phone
numbers of the vets/clinics that care for the
birds: |
|
Pet
Information: |
Do you cover the bird
cages at night? |
|
Do you leave a night light
on? |
|
Do you leave a TV or
radio on during the day while you are
gone? |
|
Do you want us to let the
bird out of its cage? |
|
Do you supplement your
pets diets with vitamins? Please give details including if
liquid or powder is used, amount to give, which birds are to
receive them and when. |
|
|
Do you want us to give
your pets a mini shower with warm
water? |
|
Do you offer your pets
fresh fruits and vegetables? Please tel us how and when you
make this offering. |
|
|
Does the diet include
seed, pellets or both? |
|
Do you offer millet or
other bird treats? |
|
Do you use tap or bottled
water for drinking? |
|
Is there an Avian First
Aid kit available? Where is it
located? |
|
Do your pets prefer men
or wormen? |
|
Any known illnesses with
any of the birds? Give details: |
|
Is there a travel cage
available for emergencies? Where is it
located? |
|
Please give detailed
instructions for cleaning the bottom of the cages including
what new bedding to use, its location and how you would
like the old bedding disposed
of. |
|
|
Do you recycle uneated
seed and offer it to the outside
birds? |
|
|
Using the words (Excited, Friendly, Aloof, Cautious, Indifferent,
Scared, Defensive, Aggressive, Stressed and Mean),
describe each bird's attitude with strangers. If more than one
applies, use as many as neccessary. Indicate each bird by
name. |
|
|
Have your birds ever
bitted anyone? Give details. |
|
Any history of
aggression? Give details. |
|
What cleaning solutions
are to be used on perches and toys? Where are they
located? |
|
Althought unlikely,
should your bird die while you are away, what arrangements
should we make? |
|
Any fears or phobias?
Please give details. |
|
Describe pet's favorite
treats, where located and when
given. |
|
Describe pet's favorite
toys and their location. |
|
Describe pet's favorite
activities. |
|
Any unusual eating,
sleeping or other behavioral issues? Give
details. |
|
Any conditions or
problems? Give details. |
|
Any contagious illnesses?
Give details. |
|
Please give details for any medications
that will need administered in your absence. Be sure to list
bird's name, medicine name, dosage amount, number of times per
day, time frame for each dose and where meds are located. If
no meds, enter "none". |
|
|
Additional Medicine/Medical
insturctions: |
|
Additional care
instructions: |
|
I certify, by entering my
initials and last 4 digits of my Social Security number, that
the above information is correct to the best of my knowledge
and that I will notify Big Dog and Miss Kitti's Pet Sitting
Services of any changes to the above prior to the start of any
Service Period. |
Pet Owner's
Initials: |
|
Pet Owner's last 4 digits
of Social Security number: |
|
|
Email: |
|
|