Welcome To The Family! If you are a new client, the following forms MUST be filled out prior to your first service visit.Please FILL THESE FORMS OUT NOW. Client & Home InformationName(Required) First Last Address(Required) Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone(Required)Email(Required) Emergency Contact InformationIn the case of an emergency, we will attempt to contact you. If we cannot reach you, this is the person we will attempt to contact next.Name(Required) First Last Phone(Required)Email Property InformationPlease select items applicable to your property (select all that apply): Security System (Requires Access Information) Security Fence Invisible Fence Pet Door Security System InformationAccess Code(Required)Which door should we use for entry? (Must be near the keypad)(Required)Arming Instructions(Required)Disarming Instructions(Required)Parking Instructions (If Applicable)Keys InformationDo you have a key lockbox, door / garage code or concierge?NoYesIf not, Kate’s K9 Pet Care can supply a lockbox for a charge, or you can purchase one on Amazon HERE.What is the code for the lock box?(Required)Where is the lock box located?(Required)Acknowledgement: Keys (Please Initial)(Required)I will have a key ready to put in the lockbox. Please ensure that you test the key in your locks. Disregard if there is a door / garage code or concierge. Pet InformationAdd Your Pets Pet's Name: Gender: Actions Edit Delete There are no Pets. Add Pet Maximum number of pets reached. Veterinary Medical Care Release FormIn the event of a medical emergency, we will attempt to contact you by phone. If we cannot contact you by phone, this form will allow us to provide care for your pet. Confirm Your Pets Pet's Name: Breed: Actions Edit Delete There are no Pets. Add Pet Maximum number of pets reached. Name of Primary Veterinarian Clinic:(Required)Address Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone(Required)Consent(Required) I hereby give Kate’s K9 Pet Care and their employees my express permission to take my pet/s to the above-mentioned veterinarian (or to the closest open facility if the primary vet is not available). I give permission for the veterinarian to administer any care or medications necessary.I will assume full responsibility for the payment for any and all veterinary services provided.Consent Signature (Please Sign Full Name)(Required) AcknowledgementsImportant Things To Know(Required)If you would like to check in to see how your pet(s) and/or home are doing, please feel free to call us at 703-397-3838 or email us at info@KatesK9PetCare.com. We will have our Pet Care Professional reach out to you. In the unlikely event of an emergency involving your pet’s health, we will seek veterinary care from your veterinarian listed on the Client Information Sheet (or other veterinarian if your veterinarian is unavailable). We will attempt to contact you first in such cases, except for an emergency we will reach out for veterinary care first. If there are any changes to your arrival date and time back home, please contact us immediately so that we can arrange further care if needed. In order to provide you the most personalized and dependable service possible, please ensure that you inform our office of any changes regarding your pet’s information, your pet’s veterinarian, your contact information, your emergency contacts, your security access codes or keys, your pet’s routine, or any other pertinent information regarding your pet and/or home. Your Pet Care Professional will hold onto your house keys and security access codes until you leave our service (unless otherwise agreed). This makes it more convenient and efficient to conduct future services, and serves as a dependable backup should you ever need us in the event of an emergency. There is a fee for returning or picking up keys after the free in-home consultation when the sitter has to make a separate trip to your home. After we provide your service, your Pet Care Professional will leave you a report card to inform you of your pet’s activities and anything else while you were away. Don’t hesitate to contact the office or your sitter should you have any questions regarding the care for your pet and/or home. Tips are greatly appreciated, but not expected. Feel free to leave your Pet Care Professional a cash tip, through the app, or contact us to let us know to include a tip when we charge your credit card. Tips are a great way to reward your Pet Care Professional for doing a great job, and to show them that you appreciate their hard work. 100% of tips go directly to them! I have read the "Important Things To Know"Cancellations (Please Initial)(Required)You must cancel walks with a minimum of 24 hours notice for a credit. You will be charged full price for walks cancelled with less than a 24 hours notice.Photo Authorization (Please Initial)I authorize Kate's K9 Pet Care to take pictures of my pet during their visit for the Visit Report on the Client Portal as well as to be used on social media.Payment for services will be with:(Required) Cash Check Credit Card Please fill out and print the "Credit Card Capture and Payment Authorization" form, and have it for us at your Meet & Greet.Dog Walking Client Agreement Acknowledgement (The Contract)(Required)The parties to this Dog Walking Agreement (hereinafter referred to as the “Contract”) are Kate’s K9 Pet Care (hereinafter referred to as "the Walker") and the party rendering signature on this form (hereinafter referred to as "the Owner"). A Dog Information Sheet and a Veterinarian Release Form must be completed and signed prior to service (for each pet) so that we may provide the best care possible. Whereas the Owner wishes to engage the Walker and the Walker agrees to undertake the services under the terms and provisions defined in this Contract, as well as the forms mentioned, all of which shall become part of this Contract. Any reference to dogs or pets in this Contract shall refer to those specified on the Dog Information Sheet(s). 1-Relationship and Responsibilities: It is expressly understood that the Owner retains the services of the Walker as an independent Contractor and not as an employee. The Walker shall be responsible for his/her insurance and all statutory declarations and payments with regard to income tax where applicable. The Walker undertakes to perform the agreed-upon services in an attentive, reliable and caring manner, and the Owner undertakes to provide all necessary information to assist in this performance. The Walker undertakes to notify the Owner of any occurrence pertaining to the dog which may be relevant to the care and well-being of the dog. The Walker will be supplied and be equipped with waste bags and will duly remove the dog's feces from all public places. The Owner will provide suitable harnesses, collars and non-retractable leashes as approved by the Walker, as well as muzzles if required. The Walker reserves the right to adjust walking times due to extremely hot or stormy weather. If the Owner desires the dog’s feet to be wiped off during wet weather, Owner shall provide a towel to be left at the point of entry used by the Walker. 2-Compensation: Owner agrees to pay all invoices from Walker for all services rendered. Visits are for approximately 30 minutes and include: 20-25 minute walk, fresh water refill, attention and treats afterwards. Additional time can be added for a nominal fee. A $30 fee will be charged for all returned checks plus any bank fees incurred. 3-Duration: This Contract shall become effective on date of Owner Signature below. Either party may terminate this Contract with a minimum of 24 (twenty four) hours notice prior to the scheduled visit without incurring penalties or damages. Cancellation by the Owner of scheduled walks with less than 24 hours notice will be charged at the full rate. If a specific employee of the Walker cannot perform the service at a scheduled date or time, then the Walker may assign a substitute employee. Should any dog become aggressive or dangerous, the Walker may terminate this Contract with immediate effect. Any wrongful or misleading information in the Owner's Information or Pet Information sheets may constitute a breach of terms of this Contract and be grounds for instant termination thereof. Termination under the circumstances described above shall not entitle the Owner to any refunds or relief of any outstanding payments due. 4-Liability: The Walker will carry liability insurance relative to the services performed for the Owner. A copy of the insurance policy has been made available to the Owner and the Owner acknowledges that he/she is familiar with its content. It can be viewed online at: www.KatesK9PetCare.com . The Walker accepts no liability for any breach of security or loss of or damage to the Owner's property if another person has access to the property during the term of this Contract. The Walker shall not be liable for any mishap of whatsoever nature which may befall a dog or be caused by a dog who has unsupervised access to the outdoors. The Owner shall be liable for all medical expenses and damages resulting from an injury to the Walker caused by the dog, as well as damage to the Owner's or other persons’ pets or property. The Walker is released from all liability related to transporting dog(s) to and from any veterinary clinic or kennel, the medical treatment of the dog(s) and the expense thereof. A non-retractable leash and collar will be required for all services. In the event an additional collar is needed for the safety of the dog(s), the Walker will notify the Owner. The Owner will be responsible for costs associated with additional collars. 5-Indemnification: The parties agree to indemnify and hold harmless each other as well as respective employees, successors and assigns from any and all claims arising from either party's willful or negligent conduct. 6-Emergencies: In the event of an emergency, the Walker shall contact the Owner at the numbers provided to confirm the Owner's choice of action. If the Owner cannot be reached, the Walker is authorized to either: (1) transport the dog(s) to the listed veterinarian, (2) request on-site treatment from a veterinarian, or (3) transport the dog(s) to an emergency clinic if the previous two options are not feasible. Owner agrees to reimburse the Walker for all expenses incurred. We suggest that you leave a credit card on file with your veterinarian with a specific charge limit. This could save your pet’s life in a case when we are unable to reach you. 7-Security: The Walker warrants to keep safe and confidential all keys, remote control entry devices, access codes and personal information of the Owner. Upon request from Owner, Kate's K9 Pet Care will destroy and discard any keys. If the Owner wishes to have the keys returned, a fee will be charged. 8-Employees: The Owner acknowledges that the Walker spends a great deal of time, effort and money to locate, interview, screen and hire its employees. If the Owner should decide, at any time, to hire one of the Walker’s employees directly, the Owner shall pay the Walker a finder’s fee of $1,500 (one thousand five hundred dollars). I have read and agree to the above stated terms of this Dog Walking Client AgreementBy signing below the Owner fully understands and agrees to the contents of the above agreement:(Required)
