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*

	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
Has a reliable recall
Can be walked with other dogs
Is vaccinated (please provide Vac Card)

	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