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Johnstown Pet Services103 Clayton Dr Johnstown, PA 15904814.254.4021 JohnstownPetServices.com
CLIENT INFORMATION WORKSHEET & PET SITTER AGREEMENTClient Contact Information
Name: _______________________________________________________________________ Home Phone: ___________________________Work Phone: ________________________ Mobile Phone: __________________________2
nd
Mobile Phone: _____________________ E-mail Address(s): ______________________________________________________________ Address: ______________________________________________________________________
Emergency Contact Information (Must live in the local area)
Name: _____________________________Relationship: _________________________ Daytime Phone: ______________________Evening Phone: _______________________ Mobile Phone: _______________________
Home Security Information
Do you have a security alarm? ____Y ____NAlarm Directions/Code: ________________ Does anyone have a key to your home? ____Y ____NName & Number: ______________________________________________________________ Is anyone expected at your home during your absence? ____Y ____NWho? ______________________________When/Why? __________________________
Home Maintenance
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Location of Main WaterValve:_____________________________________________________ Location of Electrical PanelBox:___________________________________________________ Location of Pool filter, Sprinkler valveect:______________________________________
No-Fee Additional Services
Which of the following no-fee services would you like provided to you? Pleasecheck all that apply. ____Rotation of Blinds/Curtain ____Bring in Newspaper & Mail ____Rotation of Lighting ____Rotation of A/C or Heat ____Day to set out Garbage Cans ____Water Indoor Plants
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Required ReleasesVeterinarian Release
Veterinarian name, location/address &number:__________________________________________ _______________________________________________________________________________ _______________________________________________________________________________ Dear Veterinarian Hospital,In my absence, Johnstown Pet Services will be caring for my pet(s) and theyhave been instructed to transport my pet(s) to your office to be seen foremergency treatment. I authorize you to treat my pet(s) and I will beresponsible for payment of their treatment to you upon my return. ____________________________________ Client Signature Date
Locksmith Release
Dear Locksmith Service,In my absence, Johnstown Pet Services will be caring for my pet(s) inside myhome. It is imperative that Johnstown Pet Services have entry into my home.I authorize you to execute lock services for key or lock malfunctions on myproperty, and I will be responsible for payment of said services to you uponmy return. ____________________________________ Client Signature Date
Pet Guardianship
In the event that I may be incapacitated due to severe injury or death whilemy pet is under the care of Johnstown Pet Services, I authorize that my pet(s)be turned over to:Name: _________________________________Relationship: _________________________ Daytime Phone: __________________________Evening Phone: _______________________ Mobile Phone: ___________________________E-mail Address: _______________________ Address: ______________________________________________________________________ ____________________________________ Client Signature Date
Ready Key Program
I hereby certify that I am providing a key(s) to Johnstown Pet Services. Iauthorize Johnstown Pet Services to enter my home for pet sitting services,upon my request via telephone, email, or in person. I also understand that Johnstown Pet Services will retain my key(s) for use the next time services are
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