Sussex Petsitters Pet Form

Thank you for choosing Sussex Petsitters as your prefered carer of your pet(s). We pride ourselves on our ability to take care of your pets, ensuring a safe and fun environment. Please fill in our form, giving as much information as possible. Once your form has been submited, we will contact you shortly to discuss the service, associated costs, and answer any more questions you may have.
Contact Information
First Name
Last Name
First Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
E-mail*
Home Phone

Area CodePhone Number
Mobile Number

Area CodePhone Number
Where did you get our details from?

Emergency Contact
Name of Emergency Contact*

First NameLast Name
Phone Number*

Area CodePhone Number
This should be someone, not away with you, and who is able to make a decision about surgery or euthanasia
In the event of surgery or euthanasia, we will accept the advice of the veterinary surgeon. Would you like to be notified before your planned return?*

yesno
In the event of you not returning home, are there arrangements made for the homing of your dog*

Terms and Conditions
I hereby confirm that i am the owner of the above pets and that i authorise the following registered petsitter, Sussex Petsitters, to act as gaudian during my absence, and to take any action they consider suitable in order to protect and keep in good health the above mentioned pets. I do further confirm that I will be responsible for any costs which might be incurres, either vetarinary or other, as a result of sickness, accident or damaged caused to, or by any of the above named pets, and i will pay any such expenses or costs on demand. I also understand that no liability will attach to Sussex Petsitters.

Please be aware that the petsitter will continue with other commitments and /or pet minding duties during your chosen service. If your dog is boarding this may mean being left for short periods.

In an event of a flea or worm infestation, we will treat the animal at your expense.
I've read the above and agree to these terms*
Should be Empty:

	Yes	No
Can be let off lead during walks
Has a reliable recall
Can be aggresive with other dogs
Can be fearful of people/dogs
Are allowed to play with sticks
Chase livestock
Are allowed treats
Can be destructive or noisy when left
Can be walked with other dogs
Has allergies or phobias
Is insured
Is vaccinated (please provide Vac Card)
Is Microchipped (please provide number below)
Has a medical history (please provide details)

	Yes	No
Have access to a cat flap
Have access to the whole of the house
Are microchipped (please provide details)
Are insured (please provide details)
Have any medical history (please provide details)

Contact Information