Tilly's Tails New Client Form

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We will reach out to you as soon as possible upon submission of this form

First and Last Name *

Phone Number *

Email Address *

Full Address *

Secondary Contact Name & Phone # (if applicable)

Veterinarian Name & Phone # *

In the event of an *emergency*, do you grant Tilly's Tails permission to transport your pet(s) to your preferred veterinary care provider? (Please note that you will be contacted first for any non-emergent health issues before care is sought). *

Yes

Please list all of the pets in your home needing care; type of pet, name, age, sex & breed *

Describe below anything we should know about caring for your pet(s) such as special needs, medication administration, routines, reactivity, behavior, habits, etc. *

Does your dog(s) have any allergies to food or stomach sensitivities? (we use treats as positive reinforcement on walks)

Yes

Clear selection

What services are you looking to schedule? *

60 Minute Dog Walks

30 Minute Dog Walks

60 Minute Drop-Ins

30 Minute Drop-Ins

Plant Care

Critter Care

Required

If you need your visits to be a mixture of lengths and/or services, please make note here (For example, A 30-min morning drop-in, 60-min afternoon walk, 30-min evening drop in)

List which dates (mm/dd/yy) you would like to schedule OR days of the week (for recurring visits). If you do not have exact dates yet & would just like to become established with Tilly's Tails please include. *

For Dog Walking: please select the ideal time frame for your dog(s). (Their walk will be started anytime within those hours.)

7 AM - 9 AM

9 AM - 11 AM

12 PM - 2 PM

2 PM - 4 PM

5 PM - 9 PM (evening rates apply)

Other:

For Drop-Ins: please select the ideal time frame(s) you'd like your pet(s) to be checked on. (Their drop-in start time will be within those hours.)

7 AM - 9 AM

9 AM - 11 AM

12 PM - 2 PM

2 PM - 4 PM

5 PM - 9 PM (evening rates apply)

Other:

If you will be away, will anyone else be caring for your pet(s) in addition to Tilly's Tails?

Are you looking for these visits to be recurring? *

Yes

What method will you use for access to your home? *

Keypad

Lockbox

Physical Key

Garage Door

Other:

Feel free to share anything else you feel we should know before we have our care consultation

How did you hear about us? (if a current client referred you, include their name so we can send a thank you!)

Do you grant Tilly's Tails permission to use pictures taken of your pet(s) for promotional purposes as long as no identifying information is displayed in said pictures? *

Yes

Other:

Please type your full name below as your signature for an agreement to our policies. Tilly's Tails Policies *

Submit

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