Application Form
PARENT INFORMATION
Parent Name(s) *
Address *
City *
Postal Code *
Home Phone *
Work Phone
Cell Phone *
Alternate Phone
Email Address: *
EMERGENCY CONTACT
Person to contact if you or your spouse cannot be reached; this person is also able to make emergency decisions.
Emerqencv Contact Name *
Relationship to you *
Cell Phone *
Alternate Phone
LANDLORD CONTACT INFORMATION (IF APPLICABLE)
Landlords Name
Landlords Phone
VETERINARIANS INFORMATION
Veterinarians Name
Clinic Name *
Address *
Veterinarians Phone *
After Hours Phone
Maximum amount of money to spend in case of an emergency and we cannot reach you *
PET INFORMATION
PET NAME 1 *
COLOUR *
PET NAME 2
COLOUR
PET NAME 3
COLOUR
PET NAME 4
COLOUR
PET NAME 5
COLOUR
DECLAWED? *
PLEASE NOTE ANY MEDICATIONS OR ALERGIES *
QUANTITY AND TYPE OF FOOD REQUIRED AT EACH FEEDING *
ARE YOUR PETS ALLOWED TREATS? *
ARE THERE ANY SPECIAL PLACES YOUR PETS LIKES TO HIDE IF NERVOUS OR FRIGHTENED? *
ARE THERE ANY SPECIAL TOYS YOUR PETS PARTICULARLY ENJOY? *
ARE THERE ANY SPECIAL SPOTS YOUR PETS LIKE OR DISLIKE TO BE PETTED? *
HAVE YOUR PETS SHOWN ANY AGGRESSION TOWARDS ANY PERSON OR OTHER ANIMALS? *
HAVE YOUR PETS BEEN ILL WITH ANY COMMUNICABLE CONDITION WITHIN THE LAST 30 DAYS? *
DO YOUR PETS HAVE THEIR NEEDLES AND VACCINATIONS UP TO DATE? *
BONUS EXTRA REQUEST(S)
WATER PLANTS?
SECURITY CHECKS ON DOORS AND WINDOWS?
RETRIEVE MAIL/NEWSPAPER?
EMAIL/PHOTO UPDATES? *
FREQUENCY OF UPDATES? *
ADDITONAL REQUEST(S)
DESTINATION CONTACT INFORMATION
DESTINATION ADDRESS
DESTINATION CITY *
POSTAL/ZIP CODE
DESTINATION PHONE
DEPARTURE/RETURN
DATE OF FIRST VISIT *
MM
/
DD
/
YYYY
YOUR PET(S) FIRST VISIT ON THIS DATE WILL BE
Time
:
DATE OF LAST VISIT *
MM
/
DD
/
YYYY
YOUR PET(S) LAST VISIT ON THIS DATE WILL BE
Time
:
HOW DID YOU HEAR ABOUT US? *
ADDITIONAL NOTES
LITTLE PAWS CAT SITTING AGREEMENT & WAIVER.
By submitting this document I, as the owner/parent/guardian, guarantee that I will be personally liable for all expenses resulting from daycare, veterinarian fees, property damage fees or any other expenses incurred while my pet is being visited by Little Paws Cat Sitting. I also understand that as the owner/parent/guardian I agree to indemnify and hold harmless Little Paws Cat Sitting, its owners, agents and employees for any damaging acts to property or other animals while being visited by Little Paws Cat Sitting. I understand and agree that Little Paws Cat Sitting is relying upon my representation and warranty that my pet is in good health, and that my pet has not harmed, shown aggressive or threatening behavior towards any person or any other pets. I represent and warrant that my pet has not been ill with any communicable condition in the last 30 days and all required vaccinations for my pet are up to date.
I accept all risks involved and agree that Little Paws Cat Sitting is not liable for any injuries or illness during my pets visitations. Little Paws Cat Sitting accepts no responsibility for any injury contracted or suffered while my pet is being watched by Little Paws Cat Sitting. I hereby release Little Paws Cat Sitting from all liability for any loss or expense that I may suffer or bear as a result of any happenings (such as disappearance, runaway, sickness, injury, death from any cause, fire, theft etc.) through transportation or otherwise during the time my pet is being watched by Little Paws Cat Sitting. I certify that I have read and understood the terms set forth herein and that I have read and understood this agreement. I agree to abide by all Little Paws Cat Sitting policies and accept all the terms, conditions and statements of this agreement and comfirm the thruthfulness of the contents of the application form completed by me. I certify by signing this document that I am fully aware of all risks and that this document is considered legal and binding.
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.