Pet Care Contract & Profile
Pet Nanny of Topeka Dog Walking & Pet Sitting, LLC
P. O. Box 1043, Topeka, KS 66601-1043
(785)235-3735
petnannytopeka@sbcglobal.net
***Please print clearly in blue or black ink**
***Fill in applicable fields to the best of your knowledge***
Your name_____________________________ Phone Home____________________
Partner/Spouse Name_______________________ Phone Work (Self) ________________
Address__________________________________ Phone Cell (Self) _________________
__________________________________ Phone Work (Spouse) _____________
E-mail___________________________________ Phone Cell (Spouse) ______________
How did you find us? (Friend, flier, ad)____________________________________________
Emergency contact(s) Please circle yes or no if they have a copy of your house key. They should be able to make a decision about the care of your pets or home if we cannot reach you in case of an emergency. (It does not have to be someone who lives nearby).
Name: ____________________ Relation: ____________ Phone: ______________ Key Y / N
Name: ____________________ Relation: ____________ Phone: ______________ Key Y / N
Name: ____________________ Relation: ____________ Phone: ______________ Key Y / N
Should we be expecting anyone in your home during your absence? Y / N
If yes, name(s):_____________________________________________________________
Do you want us to keep a copy of your keys on file? Y / N
If you want your keys returned after service ends, please circle your preferred method:
1) Deliver in person ($12) 2) Registered Mail ($6) 3) Leave hidden OUTSIDE of house
**do not write where on this contract**
Circle Door of Entry: Front Door Side Door Back Door Garage Door
To be locked: Deadbolt Door Handle Both
Circle if you have an attached garage: Door from garage to house keep: Locked / Unlocked
Mailbox Location: _____________________________________________________________
Bring in the mail? Y / N
Bring in packages? Y / N
Bring in newspaper(s)? y / n
Subscriptions to_________________________newspaper(s).
Take out garbage? Y / N Take out on which night? ______________________________
Take out recycling? Y / N Recycling instructions_________________________________
___________________________________________________________________________
Water plants? Y / N (more extensive info request later in contract)
(Please let Pet Nanny number the pages) Page 1 of ___ Customer #______
Home Security Set Alarm? Y / N
Alarm System Panel Location(s) _________________________________________________
Alarm Company________________________________ Phone Number: _________________
*Do not write the alarm code on this contract. We will discuss alarm use at the pre-service meeting. Pet Nanny of Topeka suggests you use a temporary house alarm code of our choosing. That way the code does NOT have to be written down.
Alter lights/blinds? Y / N _______________________________________________________
Turn on TV/Radio? Y / N _______________________________________________________
I do hereby waive and release Pet Nanny of Topeka from any and all liabilities and claims of any nature for the actions of myself, my pet(s), or any other person who accompanies me, or holds a key to my home except for those arising from negligence or willful misconduct on the part of Pet Nanny of Topeka. Pet Nanny of Topeka agrees to provide all services in a kind, reliable and trustworthy manner. Client agrees to notify Pet Nanny of Topeka of any concerns within 24 hours of their return. In the case of an emergency, inclement weather or a natural disaster, I authorize Pet Nanny of Topeka to use their reasonable judgment for the care and well being of my pet(s) and/or house.
I understand that Pet Nanny of Topeka can terminate this contract if my pet becomes a threat to the safety or health of Pet Nanny of Topeka due to aggressive behavior. I entrust Pet Nanny of Topeka to contact me in any and all cases if this threat should arise. I acknowledge I am responsible for medical expenses and damages resulting from an injury to a pet sitter or other persons caused by my pet. In the case that Pet Nanny of Topeka cannot reach me, I authorize Pet Nanny of Topeka to place my pet(s) in a licensed kennel with all charges arising there from to be paid by myself. Pet Nanny of Topeka reserves the right to refuse service to any client at any time, for any reason.
I attest that all of the above information is true to the best of my knowledge. If any information listed above changes I will inform Pet Nanny of Topeka before the next service is scheduled to begin.
This signed document gives Pet Nanny of Topeka and their representatives authorization to enter the above listed address as needed to perform the necessary care as outlined in this contract. I authorized this contract to be valid approval for services so as to permit Pet nanny of Topeka to accept all future telephone, mail or e-mail reservations and enter my home without additional signed contracts or written authorization.
X__________________________________ X____________________________________
Signed Name & Date Printed Name
X_________________________________ ____________
Pet Nanny Signature Date
Questions? Please call: (785) 235-3735 or e-mail petnannytopeka@cox.net
**Do not write below this line – office use only**
Total keys on file________ Number to be returned ______
Please tell us where you will keep the following items during our visits and any applicable instructions:
Leash:______________________________________________________________________
Crate:______________________________________________________________________
Treats: _____________________________________________________________________
Food: ______________________________________________________________________
Food Bowl: __________________________________________________________________
Medication:__________________________________________________________________
Litter Box:___________________________________________________________________
Cat Litter:___________________________________________________________________
Pet Carriers for Transport: ______________________________________________________
Pet Waste Disposal: ___________________________________________________________
Main Indoor Trash Can: ________________________________________________________
Carpet Cleaner & Rag: _________________________________________________________
Extra Paper Towels: ___________________________________________________________
Vacuum: ___________________________________________________________________
Broom/Dustpan: _____________________________________________________________
Snow Shovel: ________________________________________________________________
Extra Light Bulbs:_____________________________________________________________
Towels to Wipe Pet if Raining: ___________________________________________________
Heat / A/C Thermostat Location: ________________________________________________
Main Water Shut-Off Valve: _____________________________________________________
Circuit Breaker Box:___________________________________________________________
Fire Extinguisher:_____________________________________________________________
Indoor/Outdoor
Plant Watering Directions (extensive plant watering may incur an extra charge)
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