House Visit Registration Form

Owner's details

Address

Email

Home Tel:

Mobile:

Emergency contact name

Emergency contact number

Possesion of keys?

House alarm operation required?

Pet's details (No. 1)

Species (e.g. rabbit)

Pet's name

Age

Sex

Neutered

Pet's details (No. 2)

If only boarding one pet please skip to "Terms & conditions")

Species

Pet's name

Age

Sex

Neutered

Pet's Details (No. 3)

Species

Pet's name

Age

Sex

Neutered

Pet's Details (No. 4)

Species

Pet's name

Age

Sex

Neutered

Name of veterinary surgery

Tel:

Feeding routine: frequency and quantity

Any other important information or concerns

Terms & Conditions

1. The client agrees to provide full and honest information to Dottie’s Pet Care about their pets during the booking procedures. 2. In the event of a break-in, the owner will be notified and the police informed if requested. 3. The emergency contact will be asked to take over care of the animal(s) in the event of an emergency, be it an evacuation at their home in the event of a fire or such like. Please seek permission for your emergency contact to be nominated. 4. The owner agrees they will be handing over their pet(s) to Dottie’s Pet Care in good health. Any current illnesses or ailments will be disclosed and any medication for such ailments will be supplied and detailed on the Boarding Registration Form above. 5. The client agrees that if insufficient food or other supplies are provided to cover their pet’s absence, the cost of purchasing additional items will be payable on their return. 6. The client will inform their veterinarian that Dottie’s Pet Care will be caring for their pets while they are away (or at work) and if possible arrange for card details to be held so that emergency payments can be made. Any veterinary fees that are incurred for your pets and have been paid by Dottie’s Pet Care must be reimbursed immediately on your return. 7. If a pet was to escape, the local warden would be contacted immediately (if necessary) alongside the owners. 8. If a medical emergency arises for the pet(s), Dottie’s Pet Care will make every effort to contact the client and their emergency contact. Where time is of the essence, the client authorizes Dottie’s Pet Care to seek medical services at the nearest veterinary practice. The client agrees to reimburse for all services rendered by a veterinarian. An additional cost may be charged if Dottie’s Pet Care are required to collect and/or return your pet from the vet practice. 9. In the event of serious accident or illness of our family, the client accepts that alternative emergency cover will be arranged for their pet(s). This will be done with the involvement of the client’s emergency contact(s) wherever possible, and as far as possible would be within the House Visit provision of Dottie’s Pet Care. 10. Dottie's Pet Care will carry out all agreed services in a reliable, caring and trustworthy manner. In consideration of these services and as an express condition thereof, the client waives and relinquishes any and all claims against Dottie’s Pet Care except those arising from gross negligence or misconduct on the part of Dottie’s Pet Care. 11. The client authorises the signed contract to be valid approval for future services, therefore allowing Dottie’s Pet Care to accept future bookings without additional signed contracts or authorisation. By signing below I am promising to read these terms and conditions in their entirety. I, the undersigned, have read and agreed to the terms and conditions of using the services of Dottie’s Pet Care. I understand that any outstanding fee will be paid to Dottie’s Pet Care. I confirm that I will be responsible for any costs which might be incurred, either veterinary or other, as a result of any sickness, accident or damage caused to or by the pet named overleaf, excepting third-party liability, and that I will pay such costs on return. By signing these forms I am agreeing to follow through with this booking and pay any fees due.

Signed:

Date

Dottie’s Pet Care Hire Agreement

(House Visit)

Dottie’s Pet Care

Hours

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