Dog Walking/Sitting Form

Full Name

Spouse's Name

Home Street Address*

City/Town*

Postal Code*

Your Email

Secondary Email

Mobile Phone

Home Phone

Work Phone

Mobile # (Spouse)

Work # (Spouse)

How did you hear about me?

If referred, by whom?

Terms

The parties agree that they shall not disclose any terms and conditions contained in this agreement to any other party and shall keep same confidential between them.
Julspops Dog Walking & Pet/House Sitting Services agrees to provide dog walking services to the client, only by private walks, (IE: one family at a time) no dog parks, off leash or group walks are provided.
I authorize Julspops Dog Walking & Pet/House Sitting Services to perform dog walking services as outlined above.
I authorize Julspops Dog Walking & Pet/House Sitting Services to obtain any emergency veterinary care that may be necessary during the time spent with my pet(s). I accept responsibility for any charges related to this emergency care. I also authorize Julspops Dog Walking & Pet/House Sitting Services to utilize an alternative veterinarian in the event my primary veterinarian is unavailable. Every effort will be made to contact me prior to obtaining emergency care.
Julspops Dog Walking & Pet/House Sitting Services accepts no responsibility for security of the premises or loss if other individuals have access to the home during the term of this agreement.
Dog walking will be performed only by Julie Silcock – Owner of Julspops Dog Walking & Pet/House Sitting Services during all assignments. I do recommend in having a back up in case there is ever a time I am unable to care for your pet(s) due to illness.
I agree to reimburse Julspops Dog Walking & Pet/House Sitting Services for any additional fees for providing emergency care, as well as any expenses incurred for unexpected visits, transportation, housing, food, or supplies.
Julspops Dog Walking & Pet/House Sitting Services agrees to provide the services stated in this agreement in a reliable, trustworthy, and caring manner. In consideration of these services and as an express condition thereof, the client expressly waives and relinquishes any and all claims against Julspops Dog Walking & Pet/House Sitting Services, except those arising from proven deliberate negligence of the pet sitter. This includes and is not limited to transporting your pet(s) to the vets during an emergency, or any transportation that is required whilst pet sitting is being performed.
I understand and agree that the amount of time I book for a dog walk (i.e. 15, 30, or 45 minutes) includes any additional time required by Julspops Dog Walking & Pet/House Sitting Services to prepare my dog(s) for the walk (or clean my dog(s) when the walk ends). This includes routines such as placing clothing / booties (outdoor wear) on my dog(s), feeding, cleaning, and any other requests. Further, there may be days when Julspops Dog Walking & Pet/House Sitting Services arrives earlier or later than the start of your scheduled appointment. This may be due to traffic, weather, emergency, etc. Should this occur, your dog(s) will always receive the full 15, 30 or 45-minute walk you've booked regardless of when I arrive for the appointment.
Julspops Dog Walking & Pet/House Sitting Services will not be liable for the injury, disappearance, death, or fines of any pet(s) with unsupervised access to the outdoors.
Client will be responsible for all medical expenses and damages resulting from an injury to other persons caused by the pet(s). Client agrees to indemnify and hold harmless Julspops Dog Walking & Pet/House Sitting Services in the event of a claim by any person injured by the pet(s).
It is expressly understood that Julspops Dog Walking & Pet/House Sitting Services shall not be held responsible for any damage to client’s property, or that of others, caused by client’s pet(s) during the period in which they are in its care.
I attest to the fact that all licenses and vaccinations required by the Province of Ontario, the City in which I reside and/or the City of London are current according to the law. A current copy has been provided to Julspops Dog Walking & Pet/House Sitting Services for her records.
I agree to inform Julspops Dog Walking & Pet/House Sitting Services of any changes to my pet(s) health or diet to stay consistent with my pet(s) needs.

I have read and agree to the above and in addition I have completed and signed the required Pet & Veterinary Form, any reference to pets in this contract shall refer to those specified on the Pet & Veterinary Form(s).

Emergency Preparedness

In the event of an emergency resulting in property damage either caused by fire, gas leak, break-in, flood, storm damage, etc.; I would like Julspops Dog Walking & Pet/House Sitting Services to do the following:

Client Profile & Home Information

EMERGENCY CONTACTS
People able to make decisions about the care of pet(s) or home in emergencies) MUST BE FILLED IN:

Contact #1

Emergency Contact Name 1

Relationship

Phone Number

Has Key to Home?

Yes No

Contact #2

Emergency Contact Name 2

Relationship

Phone Number

Has Key to Home?

Yes No

OTHER PERSONS WHO MIGHT BE ENTERING YOUR HOME OR ON YOUR PROPERTY
Realtor, housekeeper, landlord, gardener, pest control, relative, friends, etc.)

Contact #1

Other Home Access Contact Name 1

Relationship

Phone Number

Has Key to Home?

Yes No

Contact #2

Other Home Access Contact Name 2

Relationship

Phone Number

Has Key to Home?

Yes No

PLEASE LIST THE LOCATION OF THE FOLLOWING:

Broom/Vacuum

Water Shut Off Valve

Gas Shut Off Valve

Fire Extinguisher(s)

Breaker Box/Electrical Panel

Spare House Key

Cleaning Supplies

Home Information

Gate Code:

Door Keypad Code:

Garage Door Code:

Alarm Panel Location

Alarm Panel Password

Alarm Entry Password

Alarm Exit Password

Alarm Company Name

Alarm Company Phone

Alarm Code Word

Wifi

Wifi Password

(this is only needed if overnights are required at your home, thank you)

Cameras / Video Surveillance?

Yes No

Apartment / Condo Information

If you reside in an apartment/condo building, please advise if there are any special check-in procedures or otherwise (doorman, etc.) that I may need to be aware of.

Landlord/Management Contact Information:

PLEASE ONLY COMPLETE IF HOUSE SITTING REQUIREMENTS ARE NEEDED WHILST CARING FOR YOUR PET(S):

Collect Mail?

Yes No

If yes, how often?

Mailbox # and Location

Key to Mailbox

Alternate Light Switches

Yes No

Alternate Window Coverings

Yes No

Flush Toilets

Yes No

Put out garbage & recycling?

Yes No

If yes, which day is your garbage day?

Water Indoor Plants?

Yes No

Location of plants?

Water Outdoor Plants?

Yes No

If yes, which ones?

Potted plants only Inground plants only Both

Other Information

Julspops Dog Walking & Pet/House Sitting Services can NOT be held responsible for any plants that may not survive; I will care for them the best I can.

Any common problems with your home that I should be made aware of during my visits:

This agreement will remain valid for current and any future service.

Acceptance

I accept that I have provided the required information, and that submitting this form is my official documentation for Julspops Dog Walking/Pet Sitting.

Dog Walking/Sitting Form

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