SAMPLE INFORMATION SHEET
Today’s Date: _______________________________
Client Name ___________________ Dog’s/Cat’s Name ____________________________
Address ______________________ Age ________ Breed ____________
Phone (Res) ___________________ Sex: Male Female (circle one)
(Bus) ___________________ Neutered/Spayed
E-mail ________________________
Cell phone/pager ________________
Dog’s Characteristics: Please state yes or no beside each statement:
Good with other dogs ____________ Plays with ball _______________
Comes when called ______________ Likes children _______________
Must be kept on leash ____________ Barks at strangers ____________
Will go in water _________________ Likes to chew _______________
Jumps/digs/climbs _______________ May be given treats __________
Scared of thunderstorms __________ Loves people/food/garbage _____
May be allowed on furniture _______ Chases joggers/squirrels/cats/cars/bikes ___
Colour & Markings of Dog/Cat ________________________________________________
Date of Boarding/Drop off and Pick up Times ____________________________________
Veterinarian: Name of Clinic _______________________ Phone No. _______________
Number where you may be reached ____________________________________________
Friend or neighbour that may be contacted in emergency: Name _____________________
Phone Number __________________ Address: _________________________________
Special requirements (feeding/medications/allergies) _______________________________
Signing below acknowledges that Wagging Trails personnel may enter your home for the purpose of picking up/returning your pet and, if required, to transport your pet by car. Wagging Trails shall assume no liability for any illness or injury caused to your pet or to other persons, pets or property. If your pet becomes injured or ill, Wagging Trails is hereby authorized to take your pet to the nearest animal care facility and such expense shall be paid by the owner of the pet.
Payments for the day(s)/week are due on the first day that services are rendered, weekly in advance. Please make payment by cash or cheque payable to Bethany Palmer. There is a $30.00 assessment fee charge on returned cheques. All fees will be due promptly.
A $10.00 cancellation fee is applied if Wagging Trails is not notified at least 24 hours in advance of any cancellations.
Wagging Trails requires that you provide a responsible party (i.e. neighbour) to look after your pet(s) in the event of unforeseen circumstances, i.e. inclement weather, natural disasters or illness.
Wagging Trails is not obliged to walk your dog on civic or statutory holidays. Holiday walks need to be specified. An extra charge of time and a half will apply. Regular business hours are 8-6 pm.
Signature: ________________________ Date: __________________________
