Encinitas Pet Sitting | Short Visits Form

Primary Owner's Name *

Primary Owner's Address *

Primary Owner's Phone Number(s) *

Primary Owner's Email Address

Secondary Owner's Name

Secondary Owner's Phone Number(s)

Secondary Owner's Email Address

Emergency Contact's Name

Emergency Contact's Phone Number(s)

Dog's Name *

Dog's Breed/Description *

Dog's Age (Approximate is okay) *

Dog's Weight (close approximate is okay) *

Dog's Sex *

Male

Female

Feeding Instructions *

Does your dog receive treats? If yes, how often and what times of day? *

Where will your dog's food, water, treats, leashes and any other important items be located? *

Does your dog have allergies or sensitivity to anything or need any medicine for any other reason? If yes, please explain and include necessary instructions *

Do we have permission to take your dog to the vet if necessary? *

Yes

No

Name of Vet/Clinic *

Address of Vet/Clinic *

Phone number of Vet/Clinic *

Has your dog ever bitten a person or another animal? If yes, please describe in detail *

Please describe your dog's behavior toward new people *

Is your dog friendly with other pets? Please explain if necessary *

Please describe your dog's behavior around food/water dishes and toys *

Does your dog know any cues that you would like us to use out on walks or when receiving treats? *

How would you describe your dog's personality and what does he/she enjoy doing? *

May we take your dog in the car for a little adventure? If yes, please include any necessary information *

Will there be any people visiting your home during your time away? (i.e. Maid, Gardener, Relative)? Any special instructions? *

What else would you like us to take care of? (i.e. garbage cans, water plants, get mail, pick up poop, feed fish)? *

Is it okay for us to take pictures of your dog(s) to use on our social media business pages? *

Yes

No

Just a heads up - We'll be checking around any open rooms/areas that your dog(s) have access to to make sure they haven't gotten into anything and/or had any accidents. *

Ok, I understand!

Anything else we should know?

How do you prefer to pay? *

Cash or Check

Credit Card in person (Via Square CC Reader)

PayPal (see below)

Venmo (see below)

I don't know how much to pay yet!

I know how much to pay, but I will let you know how I prefer to pay later