In-Home Pet Sitting Release Of Liability Form

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IN-HOME PET SITTING RELEASE OF LIABILITY FORM
Owner Information
Name: ________________________________
Email Address: ___________________________________
Address: _________________________ City: ________________ State: ______ Zip:_____________
Home Phone: _________________ Work Phone: ________________ Cell Phone: ____________________
How did you hear about Friendly Paws Pet Resort? ____________________________________
Pet Information
Pet’s Name: ____________________
Kind of Pet (circle one): DOG
CAT
Breed: _____________________
Color:_______________ Age: __________ Birth Date: ___________ Weight: ___________ Sex: ________________
Is the above pet tagged or tattooed with an identifying number or have a microchip implant? Yes
No
Does your pet have a history of biting?
YES
NO
Important Phone Numbers
Emergency Contact (other than pet owner): _______________________________
Phone Number: __________________________
Secondary Emergency Contact: _______________________ Phone Number: ______________________
Specific Emergency Instructions: _______________________________________________________________
__________________________________________________________________________________________
Will pet care responsibilities be shared with anyone else not affiliated with Friendly Paws Pet Resort?
YES
NO
If yes, please provide the following information regarding that person:
Name: ____________________ Phone Number: _______________________
Details of job sharing arrangement: _____________________________________________________________
__________________________________________________________________________________________

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