Client Information Form

Petacular Sitters: OBX 
Client Information Form


Pet Owner Information

Owner(s): ___________________________

Street Address: ________________________________

City, State, & Zip Code: ______________________________

Home Phone: _______________________

Work Phone: _______________________

Mobile Phone: ______________________

E-mail Address: _____________________

Emergency Contact(s):

Name: _____________________________________

Number: _____________________________________


Home Information

Alarm Code: ________________________________________

Alarm Password: ____________________________________

Does anyone else have access to keys or alarm code? YES___NO___

Name and Number: ________________________

Location of

Fuse Box: _______________

Circuit Breaker: _______________

Main Water Cut Off: _______________

Cleaning Supplies: _______________

Home Care Information 

What day is trash day: _______________ Do you want us to roll out the trash? YES___NO___

Bring in mail? YES___ NO___

Bring in newspaper? YES___ NO___

Alternate lights? YES___NO___

Alternate Curtains? YES___NO___

Water plants? YES___NO___

Turn t.v. and or radio on for pets comfort? YES___NO___

Additional house instructions: ___________________________________________________

Pet #1 Information

Pet Name: _______________

Kind of pet: Dog___ Cat___ Bird___ Fish___ Snake___ Horse___ Other___

Age/D.O.B._______________

Breed/Description: __________________

Sex: Male___ Female___

Diet: A.M. __________________

         P.M.__________________

Medication: A.M. ______________

                   P.M. ______________

Does your pet have a favorite toy? What is it? ________________

Does your pet use an electric fence collar? YES___NO___

Is your pet secured by a fenced in yard? YES___NO___

Does your pet have access to a pet door? YES__NO___

Is your animal Aggressive towards other pets or strangers? YES___ NO___

If yes, explain: ___________________________________________________________

Additional Information: _________________________________________________________

Pet #2 Information

Pet Name: _______________

Kind of pet: Dog___ Cat___ Bird___ Fish___ Snake___ Horse___ Other___

Age/D.O.B._______________

Breed/Description: __________________

Sex: Male___ Female___

Diet: A.M. __________________

         P.M.__________________

Medication: A.M. ______________

                   P.M. ______________

Does your pet have a favorite toy? What is it? ________________

Does your pet use an electric fence collar? YES___NO___

Is your pet secured by a fenced in yard? YES___NO___

Does your pet have access to a pet door? YES__NO___

Is your animal Aggressive towards other pets or strangers? YES___ NO___

If yes, explain: ___________________________________________________________

Additional Information: _________________________________________________________



Pet #3 Information

Pet Name: _______________

Kind of pet: Dog___ Cat___ Bird___ Fish___ Snake___ Horse___ Other___

Age/D.O.B._______________

Breed/Description: __________________

Sex: Male___ Female___

Diet: A.M. __________________

         P.M.__________________

Medication: A.M. ______________

                   P.M. ______________

Does your pet have a favorite toy? What is it? ________________

Does your pet use an electric fence collar? YES___NO___

Is your pet secured by a fenced in yard? YES___NO___

Does your pet have access to a pet door? YES__NO___

Is your animal Aggressive towards other pets or strangers? YES___ NO___

If yes, explain: ___________________________________________________________

Additional Information: _________________________________________________________

 

 
Pet #4 Information

Pet Name: _______________

Kind of pet: Dog___ Cat___ Bird___ Fish___ Snake___ Horse___ Other___

Age/D.O.B._______________

Breed/Description: __________________

Sex: Male___ Female___

Diet: A.M. __________________

         P.M.__________________

Medication: A.M. ______________

                   P.M. ______________

Does your pet have a favorite toy? What is it? ________________

Does your pet use an electric fence collar? YES___NO___

Is your pet secured by a fenced in yard? YES___NO___

Does your pet have access to a pet door? YES__NO___

Is your animal Aggressive towards other pets or strangers? YES___ NO___

If yes, explain: ___________________________________________________________

Additional Information: _________________________________________________________


For Dogs Only 

 

Does your dog respond to any voice commands? YES___NO___

Does your dog chase cars, cats, or other animals? YES___NO___

Does your dog pull hard on a leash? YES___NO___

Has your dog pulled out of a leash? YES___NO___

How does your dog react to rain/snow/ice when going out to potty? _____________________________________________

Additional Instructions for the pet sitter: ___________________________________

For Cats Only

Does your cat try to get out of the house? YES___NO___

Does your cat enjoy playing with toys? YES___NO___

Does your cat spray or go outside of the litter box? YES___NO___

Is your cat declawed? YES___NO___

Do you have a special way you call your cat? ________________________

Additional Instructions for the pet sitter: ___________________________________

For Horses Only

Does your horse bite? YES___ NO___

Does your horse kick? YES___NO___

Does your horse spook easily? YES___NO___

Does your horse have a specific halter or lead rope? YES___ NO___

What are they and where are they located? ______________________________

Is your horse allowed treats (carrots, apples, horse cookies)? YES___ NO___

Additional Instructions for the pet sitter: _________________________________