Charlie & Chums Pet Services

Overnight Dog Sitting Registration Form

About You

Owner's Name

Address

Phone

To send invoices, service agreement & future newsletters

Emergency Contact Name

Emergency Contact Number

Does your emergency contact have access to the property?

Yes

About Your Pet(s)

Please complete all relevant sections for your pet(s).

If you have multiple pets, please complete each answer for all pets. If your pets have different needs - please put a name before each response.

Name of dogs

Age & Date of Birth (If Known)

Sex

Is your pet neutered/spayed?

Is your dog microchipped?

If yes can you provide the microchip number and are the details on your pets microchip up to date?

Is your pet insured?

If yes please tell us the company, policy number & expiry date.

Health Section

Please note that the information in this section will be shared with a vet if your dog requires emergency treatment whilst in our care, and therefore must be clear and accurate.

Vet Practice Name & Address

Vet Practice Number

Vet Practice Out of Hours Services

Please write the address & phone number of your out of hours service if different from above.

Have you registered Charlie & Chums Pet Services as an approved medical decision maker with your vet?

Yes

This helps to remove any GDPR difficulties at the vet practice.

Do you agree that your dog may be taken to another (nearer) vet if the treatment required is urgent?

Yes

Is your emergency contact registered with your vet and able to make medical decisions for you?

Yes

This helps to remove any GDPR difficulties at the vet practice.

Dog Section

Please put the dogs name before any responses if you have multiple dogs.

Is your dog up to date with vaccines? Including kennel cough.

If yes, please provide the date of the last vaccination

Is your dog regularly wormed and treated for flea prevention?

If yes, please provide details of the worming & flea treatment frequency.

Any medical concerns or requirements?

If yes, please provide details of your dogs medical condition.

Does your dog take regular medication?

If yes, please provide details if the dog may require medication whilst we are visiting or out walking.

Does your dog have any allergies?

If yes, please describe your dogs allergy symptoms and required treatment.

How long is your dog happy to be home alone? What is the routine before you leave?

What access does your dog have in your house when you are out?

Are there any rooms in the house that your dog is not allowed to go in?

What is your dogs bedtime routine? Where do they sleep? Does your dog sleep through the night?

What do you feed your dog?

Please tell us the brands of food that you feed your dog. We may need this information if we have to take your dog to the vet.

What is your dogs feeding routine?

Please tell us quantities and the frequency of meals.

Does your dog have snacks or treats at certain points within the day?

Does your dog guard their food?

If yes, please provide details

Is your dog sociable with people?

If no, please provide details

Is your dog sociable with dogs?

If no, please provide details

How many walks does your dog need per day?

How is your dog with thunder and loud noises?

Any fears or phobias (children, hoover etc)?

If yes, please give details.

Has your dog ever had to wear a muzzle?

If yes, please give details.

Where is the dog walking equipment kept? collars, leads, harnesses etc

House Section

Which room will be allocated for the pet sitter to sleep in?

Where are your cleaning products stored?

Do you have internet that the pet sitter can access?

Please do not disclose the details in this section. Please discuss this with me.

What day are the bins collected?

Will anyone else be visiting the property who has a key whilst you're away?

This question is in the interest of the pet sitter's privacy.

Is there anything else that you would like us to attend to during the stay?

Watering the plants, collecting parcels?

Do you use CCTV within your home?

If yes, what rooms are recorded on the CCTV? This is to confirm that pet sitters are not recorded within bathrooms and areas where the pet may get changed/removed.

Do you wish us to hold a key for you?

If you do not wish us to hold a key, please tell us how we will gain access to your pet(s)

If you have a key safe please do not enter the details in this section. Please discuss this with me.

Does your property have an alarm?

Yes

Please do not enter any alarm details in this section - but ensure that you discuss with me.

Declaration

I hereby confirm that I am the owner of the pet(s) named on this form and that I authorise Charlie and Chums Pet Services to act as my pet’s guardian whilst providing care services.

I authorise Charlie and Chums Pet Services to take any action considered reasonable and appropriate in order to protect my pet(s) and keep it in good physical and mental health, including admission for veterinary treatment. I further confirm that I will be responsible for unexpected costs which may be incurred relating to my pet(s) whilst in the care of Charlie and Chums Pet Services (costs such as but not limited to veterinary care, equipment and property damage).

If my pet(s) is unwell, and I am not able to be contacted, I give Charlie and Chums Pet Services permission to authorise emergency veterinary treatment on my behalf.

I attest that the information I have provided in this document is an accurate account of my pet’s needs and behaviour. I am aware that if my pet(s) behaves in a manner which is dangerous to a person or another animal in Charlie and Chums Pet Services care, I will be contacted immediately and must address the issues before the commencement of further services. I undertake to keep Charlie and Chums Pet Services informed of any changes in my pet’s health, behaviour, or medical needs before making each new booking.

I agree that this consent shall remain in effect until it is superseded with a new version.

I agree to Charlie and Chums Pet Services Terms and Conditions & Service Agreements that are linked below and found on our website.

https://www.charlieandchumsmk.co.uk/termsandconditions

We take photos and videos to send to you during our stay, Can we post these on social media?

Yes

Feel free to follow us on socials:

Facebook, Instagram & Tiktok: @charlieandchumsuk

We also have a pet supplies business!

Etsy: https://www.etsy.com/shop/CharlieAndChums

Or find us on Tiktok Shop

Signature

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