Two Cats and a Dog Pet Care - Client Information Form







			professional pet sitter and dog walker for the east side of providence, ri




						Items marked with a an * are required. CLIENT INFORMATION SHEET Name: Address: Home Phone: Work Phone: Mobile 1: Mobile 2: Email: Veterinary Release: If any of the pets named below becomes ill or is injured, I understand that Kristen Hudgik will attempt to notify me as soon as possible, but give permission to Kristen to take the pets to: Veterinarian: Address: Phone: Alternative Vet: Address: Phone: I give permission to Kristen Hudgik to approve treatment up to $ I will assume full responsibility upon my return for payment and/or reimbursement for veterinary services rendered up to the above stated amount. If neither of the veterinary offices named above is available, I authorize Kristen to take my pet/s to another veterinary office for treatment. I understand that Kristen Hudgik cannot be held responsible for the results of the veterinary treatment or the loss of my pet. This agreement is valid starting on the date below whenever Kristen cares for my pets. Buy typing my name below, and submitting this form to Two Cats an a Dog Pet Care, I am authorizing the above Veterinary Release. Name: Date: PET INFORMATION* Name of 1st pet: Species: Breed: Sex: Male Female Age of Pet: Spayed/Neutered? Yes No Color/Markings Health concerns Information about your pet’s routine and care (i.e. feeding instructions, favorite toys, likes and dislikes) Please enter information about your pet’s routine and care Name of 2nd pet: Species: Breed: Sex: Male Female Age of Pet: *Spayed/Neutered? Yes No Color/Markings Health concerns Information about your pet’s routine and care (i.e. feeding instructions, favorite toys, likes and dislikes) Please enter information about your pet’s routine and care Additional information you would like me to know Please enter any additional information you would like me to know