CLIENT INFORMATION CLIENT & HOME INFORMATION:
Name: ______Name of Pet(s): ______Address: ______City______Zip______Phone: ______Email Address:______
EMERGENCY CONTACT INFORMATION
Name: ______Phone: ______Email Address:______
SECURITY SYSTEM (If home has system):
Code: ______Door Entering (must be near keypad): ______Arming Instructions: ______Disarming Instructions: ______
PROPERTY DESCRIPTION: Security Fence: □ Yes □ No Invisible Fence: □ Yes □ No Pet Door: □ Yes □ No Parking Instructions (if needed): ______
Keys: Please have 2 keys ready for us when we meet - be sure you have checked them in your locks.
I release my house keys to Kate’s K9 Pet Care to retain on file, in a secured location, for future services. I may revoke this release at any time, at which time my keys will be returned. Initial: ______
You must cancel walks with a minimum 24 hours notice for a credit. You will be charged full price for walks cancelled with less than 24 hours notice. Initial: ______
I authorize Kate’s K9 Pet Care to take pictures of my pet during their visit to view the Visit Report on the Client Portal as well as on social media. Initial: ______
Telephone: (703) 397-3838 www.KatesK9PetCare.com [email protected]
DOG WALKING FORMS
PET INFORMATION
Pet’s name: ______Pet Date of Birth: ______
□ Male □ Female □ Spayed □ Neutered Pet’s approximate weight:______
Breed: ______Markings: ______
Vaccines Up to Date? □ Yes □ No
□ Distemper □ Bordetella (kennel cough) □ Rabies
Is your pet licensed with the city (if required)? □ Yes □ No License#: ______
Does your pet need any Medications? □ Yes □ No (If ‘Yes’, a Medicaon Authorizaon Form must be completed and on file)
Is there anything in particular we should be aware of when caring for your pet? (Scared of loud cars, skateboards, kids? Eats objects/garbage on walks, health issues, allergies, etc? ) ______
OK to give treats? □ Yes □ No
Dog Section:
When you walk your dog, if he sees another dog, does he: □ Ignore the other dog □ Show some interest but keep walking □ Wag his tail in a playful manner □ Growl and become aggressive □ Pull hard on the leash in an attempt to get to the other dog
When you walk your dog, if he sees a cat or other small animal does he: □ Ignore the animal □ Show some interest but keep walking □ Wag his tail in a playful manner □ Growl and become aggressive □ Pull hard on the leash in an attempt to get it
What commands does your dog understand: □ sit □ stay □ down □ off □ ______□ ______□ ______□ ______□ ______
Does your dog come when called? Yes □ No
Does your dog walk calmly or pull when walking: ______
Telephone: (703) 397-3838 www.KatesK9PetCare.com [email protected]
DOG WALKING FORMS
Additional Notes: (another sheet may be attached for further details) ______
In case of any emergency, a signed Veterinarian Release Form is necessary for our files.
Telephone: (703) 397-3838 www.KatesK9PetCare.com [email protected]
DOG WALKING FORMS
DOG WALKING CLIENT AGREEMENT
The parties to this Dog Walking Agreement (hereinafter referred to as the “Contract”) and Kate’s K9 Pet Care (hereinafter referred to as "the Walker") and ______(hereinafter referred to as "the Owner").
A Dog Information Sheet and a Veterinarian Release Form must be completed and signed prior to service (for each pet) so that we may provide the best care possible. Whereas the Owner wishes to engage the Walker and the Walker agrees to undertake the services under the terms and provisions defined in this Contract, as well as the forms mentioned, all of which shall become part of this Contract. Any reference to dogs or pets in this Contract shall refer to those specified on the Dog Information Sheet(s).
1- Relationship and Responsibilities: It is expressly understood that the Owner retains the services of the Walker as an independent Contractor and not as an employee. The Walker shall be responsible for his/her insurance and all statutory declarations and payments with regard to income tax where applicable. The Walker undertakes to perform the agreed-upon services in an attentive, reliable and caring manner, and the Owner undertakes to provide all necessary information to assist in this performance. The Walker undertakes to notify the Owner of any occurrence pertaining to the dog which may be relevant to the care and well-being of the dog. The Walker will be supplied and be equipped with waste bags and will duly remove the dog's feces from all public places. The Owner will provide suitable harnesses, collars and non-retractable leashes as approved by the Walker, as well as muzzles if required. The Walker reserves the right to adjust walking times due to extremely hot or stormy weather. If the Owner desires the dog’s feet to be wiped off during wet weather, Owner shall provide a towel to be left at the point of entry used by the Walker. Initial: ______
2- Compensation: Owner agrees to pay all invoices from Walker for all services rendered. Visits are for approximately 30 minutes and include: 20-25 minute walk, fresh water refill, attention and treats afterwards. Additional time can be added for a nominal fee. A $30 fee will be charged for all returned checks plus any bank fees incurred.
3-Duration: This Contract shall become effective on date of Owner Signature below. Either party may terminate this Contract with a minimum of 24 (twenty four) hours notice prior to the scheduled visit without incurring penalties or damages. Cancellation by the Owner of scheduled walks with less than 24 hours notice will be charged at the full rate. If a specific employee of the Walker cannot perform the service at a scheduled date or time, then the Walker may assign a substitute employee. Should any dog become aggressive or dangerous, the Walker may terminate this Contract with immediate effect. Any wrongful or misleading information in the Owner's Information or Pet Information sheets may constitute a breach of terms of this Contract and be grounds for instant termination thereof. Termination under the circumstances described above shall not entitle the Owner to any refunds or relief of any outstanding payments due.
4-Liability: The Walker will carry liability insurance relative to the services performed for the Owner. A copy of the insurance policy has been made available to the Owner and the Owner acknowledges that he/she is familiar with its content. It can be viewed online at: www.KatesK9PetCare.com .The Walker accepts no liability for any breach of security or loss of or damage to the Owner's property if another person has access to the property during the term of this Contract. The Walker shall not be liable for any mishap of whatsoever nature which may befall a dog or be caused by a dog who has unsupervised access to the outdoors. The Owner shall be liable for all medical expenses and damages resulting from an injury to the Walker caused by the dog, as well as damage to the Owner's or other
Telephone: (703) 397-3838 www.KatesK9PetCare.com [email protected]
DOG WALKING FORMS persons’ pets or property. The Walker is released from all liability related to transporting dog(s) to and from any veterinary clinic or kennel, the medical treatment of the dog(s) and the expense thereof. 5-Indemnification: The parties agree to indemnify and hold harmless each other as well as respective employees, successors and assigns from any and all claims arising from either party's willful or negligent conduct.
6-Emergencies: In the event of an emergency, the Walker shall contact the Owner at the numbers provided to confirm the Owner's choice of action. If the Owner cannot be reached, the Walker is authorized to either: (1) transport the dog(s) to the listed veterinarian, (2) request on-site treatment from a veterinarian, or (3) transport the dog(s) to an emergency clinic if the previous two options are not feasible. Owner agrees to reimburse the Walker for all expenses incurred. We suggest that you leave a credit card on file with your veterinarian with a specific charge limit. This could save your pet’s life in a case when we are unable to reach you. Initial: ______
7-Security: The Walker warrants to keep safe and confidential all keys, remote control entry devices, access codes and personal information of the Owner and to return same to the Owner at the end of the Contract period or immediately upon demand.
8-Employees: The Owner acknowledges that the Walker spends a great deal of time, effort and money to locate, interview, screen and hire its employees. If the Owner should decide, at any time, to hire one of the Walker’s employees directly, the Owner shall pay the Walker a finder’s fee of $1,500 (one thousand five hundred dollars).
By signing below the Owner fully understands and agrees to the contents of the above agreement:
Owner's Signature: ______Date: ______
Payment for Services will be with: □ Cash □ Check □ Credit Card
Telephone: (703) 397-3838 www.KatesK9PetCare.com [email protected]
DOG WALKING FORMS
VETERINARY MEDICAL CARE RELEASE FORM
In the event of a medical emergency I will attempt to contact you by phone. If I cannot contact you by phone, this form will allow me to provide care for your pet.
Name: ______Address: ______Home phone: ______Cell phone: ______
Pet Information Name: ______Breed: ______Color: ______Name: ______Breed: ______Color: ______Name: ______Breed: ______Color: ______
Primary Veterinary Information Name of Clinic: ______Address: ______Phone number: ______
I, ______(pet owner) hereby give Kate’s K9 Pet Care and their employees my express permission to take my pet/s to the above-mentioned veterinarian (or to the closest open facility if the primary vet is not available). I give permission for the veterinarian to administer any care or medications necessary.
I will assume full responsibility for the payment for any and all veterinary services provided.
Signed: ______Date: ______
Telephone: (703) 397-3838 www.KatesK9PetCare.com [email protected]
DOG WALKING FORMS
IMPORTANT THINGS TO KNOW
Thank you for joining the Kate’s K9 Pet Care family! We exist to serve you and your pets with fun, professional, dependable and secure services! Please refer to the following information while we care for your pet(s) and/or home.
1. If you would like to check in to see how your pet(s) and/or home are doing, please feel free to call us at 703-397-3838 or email us at [email protected]. We will have our Pet Care Professional reach out to you.
2. In the unlikely event of an emergency involving your pet’s health, we will seek veterinary care from your veterinarian listed on the Client Information Sheet (or other veterinarian if your veterinarian is unavailable). We will attempt to contact you first in such cases, except for an emergency we will reach out for veterinary care first.
3. If there are any changes to your arrival date and time back home, please contact us immediately so that we can arrange further care if needed.
4. In order to provide you the most personalized and dependable service possible, please ensure that you inform our office of any changes regarding your pet’s information, your pet’s veterinarian, your contact information, your emergency contacts, your security access codes or keys, your pet’s routine, or any other pertinent information regarding your pet and/or home.
5. Your Pet Care Professional will hold onto your house keys and security access codes until you leave our service (unless otherwise agreed). This makes it more convenient and efficient to conduct future services, and serves as a dependable backup should you ever need us in the event of an emergency. There is a fee for returning or picking up keys after the free in-home consultation when the sitter has to make a separate trip to your home.
6. After we provide your service, your Pet Care Professional will leave you a report card to inform you of your pet’s activities and anything else while you were away. Don’t hesitate to contact the office or your sitter should you have any questions regarding the care for your pet and/or home.
7. Tips are greatly appreciated, but not expected. Feel free to leave your Pet Care Professional a cash tip, through the app, or contact us to let us know to include a tip when we charge your credit card. Tips are a great way to reward your Pet Care Professional for doing a great job, and to show them that you appreciate their hard work. 100% of tips go directly to them!
Again, from all of us at Kate’s K9 Pet Care, we thank you for choosing to be a part of our family! We look forward to providing care for your pet(s) and/or home, and to fulfilling all of your future pet care needs!
Telephone: (703) 397-3838 www.KatesK9PetCare.com [email protected]
DOG WALKING FORMS
CREDIT CARD CAPTURE AND PAYMENT AUTHORIZATION
Thank you for becoming a part of the Kate’s K9 Pet Care family! In order to process services, a credit card needs to be on file. Just complete and sign this form to get started!
You authorize charges to your Visa, MasterCard, American Express or Discover card. You will be charged the amount indicated on the each invoice for all services or packages listed. If for any reason the attempt to charge your account fails, we will notify you and request a secondary payment method. All invoices can be viewed on the Kate’s K9 Pet Care Client portal.
Please complete the information below:
I authorize Kate’s K9 Pet Care, LLC to retain my credit card(s) indicated below on file and charge my credit card(s) for all future services
Billing Address ______Phone# ______
City, State, Zip ______Email ______
Primary Credit Card Secondary Credit Card (OPTIONAL)
□ Visa □ MasterCard □ Visa □ MasterCard
□ Amex □ Discover □ Amex □ Discover
Cardholder Name ______Cardholder Name ______
Account Number ______Account Number ______
Exp. Date ______Exp. Date ______
CVV (3-4 digit number on back of card) ______CVV (3-4 digit number on back of card) ______
SIGNATURE DATE
I authorize the above named business to charge the credit card(s) indicated in this authorization form according to the terms outlined above. I understand that this authorization will remain in effect until I cancel it in writing, and I agree to notify the business in writing of any changes in my account information or termination of this authorization at least 30 days prior to the next billing date. If the above noted payment dates fall on a weekend or holiday, I understand that the payments may be executed on the next business day. In the event that the charge to the primary credit card fails for any reason, I agree that the secondary account will be charged. This payment authorization is for the type of bill indicated above. I certify that I am an authorized user of this credit card(s) and that I will not dispute the payments with my credit card company provided the transactions correspond to the terms indicated in this authorization form.
Telephone: (703) 397-3838 www.KatesK9PetCare.com [email protected]