Please complete the form below with information
that relates to your home and pet
situation.
We realize these forms seem lengthy,
however we want to provide the best care possible for your pet
and need this information to complete that job
successfully.
Use
the "TAB" button to move from one
field to the next.
DO
NOT hit the "ENTER" button until
you are ready to submit your completed
form. |
Bold fields are
required |
Enter each of your pet's
names and type of pet: |
|
Pet Owner
Information: |
Pet Owner
#1: |
Name:(Last,
First) |
|
Residence Address:
(include city/state/zip) |
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If an apartment and you have a
designated parking space, enter your space number
here: |
|
If this is a gated community of any
kind, what is the entrance code? |
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If this is a gated community and an
Exit Code is required, please enter your Exit Code
here: |
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Residence Phone
Number: |
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Cell Phone Number: |
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Email Address: |
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Work Phone Number: |
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Pager Number: |
|
Fax Number: |
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Pet Owner #2:(if
only 1 pet owner, page to "Home
Information".) |
Name:(Last, First) |
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Cell Phone Number: |
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Email Address: |
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Work Phone Number: |
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Pager Number: |
|
Fax Number: |
|
Home
Information: |
Which door is our entry
door? |
|
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In the event of inclement
weather or natural disaster, preventing travel, whom should we
contact to check on your pets? Please give
name, address and phone number. If there is
nobody available, enter
"none". |
|
|
Whom should we contact in
the event there is a major problem with your home?
Please give name and phone number.
If there is nobody available, enter
"none". |
|
|
Other Names and Phone Numbers that may
be needed in the event of an
emergency: |
Landlord/Managment
Company: |
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Maid/Cleaning
Service: |
|
Plumber: |
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Electrician: |
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Landscape/Yard
Maintenance: |
|
Pool Company: |
|
Is there anyone else with
a key to your home? Please list name. If no others with key,
enter "none". |
|
|
Will any other person
have access to, or be visiting your home in your absence?
Please list names. If no others visiting, enter
"none". |
|
|
Give details on cars and
there locations: |
|
Please enter instructions for the
following: |
Lighting: |
|
Trash care/pick-up
day: |
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Air
Conditioning/Heating: |
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Shades/Blind
Preferences: |
|
Mail/Newpaper: |
|
Where is your
fuse/circuit breaker box and fuses, if
needed? |
|
|
Location of Primary Light
Switches: |
|
Home Security
Information: If no security system, enter "none" in the boxes
below. |
Disarm
Code: |
|
Set
Code: |
|
Password: |
|
Security Company Name and
Phone: |
|
Please detail any other
conditions or situations that may be unique to your home that
we need to be aware of prior to performing pet sitting
services. If no other conditions or situations, enter
"none". |
|
|
I certify, by entering my
initials and last 4 digits of my Social Security number, that
all of 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 change 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: |
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