New Customer Form

Feel free to browse our full customer agreement. During our first consultation, we'll bring a printed copy for you to sign.

* Denotes Required Field

Your Information

Your First Name:
Your Last Name:
Address:
City:
Zip Code:
Email:
Home Phone:
Cell Phone:
Work Phone:

Emergency Contact 1

Name:
Home Phone:
Cell Phone:
Work Phone:

Emergency Contact 2

Name:
Home Phone:
Cell Phone:
Work Phone:

Emergency Contact 3

Name:
Home Phone:
Cell Phone:
Work Phone:

Pet Information

How many pets do you have?:

Pet 1 Info

Pet Full Name: Your pet's first and last name.
Age: Your pet's age
Sex:
Type:
Breed:
Color Markings:
Spayed or Neutered?:
Dog License Number:
Health Issues?: Let us know if your loved one has any health issues we should be aware of.

Pet 2 Info

Pet Full Name: Your second pet's first and last name.

Age: Your second pet's age.

Sex:

Type:

Breed:

Color Markings:

Spayed or Neutered?:

Dog License Number:

Health Issues?: Let us know if your 2nd loved one has any health issues we should be aware of.

Pet 3 Info

Pet Full Name: Your third pet's first and last name.

Age: Your third pet's age.

Sex:

Type:

Breed:

Color Markings:

Spayed or Neutered?:

Dog License Number:

Health Issues?: Let us know if your 3rd loved one has any health issues we should be aware of.

Pet Food Info

Location?: Where is the pet food located?
Amount?: How much food should he/she receive each feeding?
Frequency?: How often does he/she get fed?
Food Notes: Any other pet food / feeding related notes?

Pet Habits

Going outside: Does he / she have problems going outside in bad weather?
Playtime activities?:
Favorite toys?:

Dogs - Walks

Leash trained?:
Leash location:
Walk area: Where do you generally walk your dog?

Poop-bags?: Where do you keep plastic bags to use to pick up solids while walking your dog?
Waste disposal: Where do you put the “used” plastic bags?

Dogs - Interaction with Others

People avoidance: Are there any animals or people your pet should stay away from?
Stranger issues: How does he / she react to strangers?
Past Attacks: Has he / she ever attacked anyone?

Cats

Litter box: Litter box location?
Litter liner: Do you use a liner in the litter box? If so,where do you keep them?
Litter disposal: Where do would you like us to dispose of the used litter?
Change Frequency: How often do you change the litter?

Accidents & Clean-up

Accidents: Does your pet ever have accidents on the floor / carpet?

Clean up: How do you clean up the mess?

Home Information

Others at home?: Are there other stay-at-home family members?
Who else has access to your home?:
Other workers?: Who may be in the home while service is being provided?

Security Info

Do you have an alarm system?:
Where is it located?:
How is it activated?:
How is it deactivated?:
Gate code?: If applicable, what is your gate code?

Home Care - Pet Sitting

Extra services requested: Please indicate the following services you would like performed in your absence.
Shades/Drapes: Which shades/drapes should be closed in the evening and opened in the morning?
Lights: Which lights should be turned on in the evening and off in the morning?
Newspapers: If you would like your newspapers brought in, where would you like them placed?
Mail: If you would like your mail brought in, where would you like it placed?

Vet Information

Veterinarian:
Address:
City:
Phone:
Phone: If known..

Medication Info

Do your pets take any medication?:

Medication 1 Info

Medication Name:

Purpose:

Dosage:

Frequency: How many times per day?

Times: At what times during the day is the medication given?

Type:

Administration: How do you usually give the medication to your pet?

Medication 2 Info

Medication Name:

Medication Purpose:

Dosage:

Frequency: How many times per day?

Times: At what times during the day is the medication given?

Medication Type:

Administration: How do you usually give the medication to your pet?

Misc

Extra Info?: Is there any other information about your pet that would be helpful for us to know about?
Do you agree to the terms of the customer agreement?:
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Review Blurbs

We have been using Woodward Pet Sitting for over 3 years now for our standard poodle, Diamond. She gets a daily walk with Danielle that she LIVES for every day during the work week. It’s also fantastic that when we travel we no longer need to find someone to watch...

- Christine

I am writing to share my experience with Woodward Pet Sitting (Audrey), who has given exceptional care to our dog Ruby. Audrey came to us through a referral and has been with us since the spring of 2013.

- Rosalinda

Woodward Pet Sitting is the BEST!!!!! Danielle took such good care of my cat, Maggie. She sent pictures every time she visited, and I knew that my precious kitty was in the best hands. I was actually surprised that Danielle was able to get my shy one out from her...

- Liz

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