K-9 LEARNING ZONE LLC
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PLEASE FILL OUT FOR EACH PET
Pet Sitting Form
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Indicates required field
Name
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First
Last
Address
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Line 1
Line 2
City
State
Zip Code
Country
Phone Number
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Cell Phone Number
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Email
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Referred By:
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Pet's Information
Pet's Name #1:
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Pet's Name #2
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Pet's Name #3:
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Pet's Name #4:
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Physical Descrption of Pet
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Sex:
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Male
Male Neutered
Female
Female Spayed
Sex:
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Sex:
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Sex:
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Physical Description of Pet:
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Age:
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Age:
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Age:
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Age:
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Physical Description of Pet:
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Breed
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Breed:
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Breed:
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Breed:
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Physical Description of Pet:
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Feeding
Feeding
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Bowl Always Full
6am-10am
11am-1pm
2pm-4pm
5pm-7pm
Water
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Tap Water
Bottled
Filtered
Brand of Dry Kibble:
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Amount:
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Canned Food Brand:
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Amount:
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Other:
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Feeding Instructions of Additional Pets
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Does Pet Need to Be Supervised from other Pets?
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Amount:
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Medication Information
Name of Medication:
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Dosage:
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How Many Times a Day:
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Medication on Additional Pets:
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Pet's Living Areas:
What is Your Pet's Restricted Areas
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My Pet Does Not Like
Choose Any
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Strangers
Touching Ears
Sprays
Hot Days
Rain/Snow/Cold
New Animals
Other Family Pets
Sharing Food Dishes
Loud Noises
Thunderstorms
All Humans
Doesn't like a certain body part touched
Pet reacts to things they do not like by: Describe even if mild:
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Has Pet Ever Done the Following:
Choose Any
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Attacked Someone/Biten Someone
Attacked Another Animal
Injured Self/excaped out of fear
Injured self out of boredom
Escaped from Home
Where does he/she like to escape to? How can he/she be retrieved?
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Training Cues: Please list any cues (command) that your dog knows:
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Veterinarian/Medical Information
Clinic Name, Phone Number, and Full Address:
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Veterinarian's Name:
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Emergency Clinic:
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Emergency Contacts
Name
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First
Last
Work Phone Number
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Home Phone Number
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Cell Phone Number
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Relationship:
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Usual Vehicles & Visitors at Home:
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Garbage Day
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Monday
Tuesday
Wednesday
Thursday
Friday
Would you like me to e-mail or text you about your pet?
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E-mail
Text
Photos through Text
Do you have any plants that need to be watered?
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Yes
No
Will anyone else have access to your home while you are away?
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Yard Service
Maid Service
Pool Service
Maintence Service
Alarm Instructions
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What days do you expect them to service your home?
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Any Additional Comments:
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