Barney's Angels Small Dog Sitters
Your dogs best friend!     (315) 525-3330
Serving Herkimer and Oneida County

 

 

 

 

 

 

 

 

 

PLEASE COPY AND PASTE TO FILL OUT AND BRING WITH YOU DON'T FORGET TO KEEP COPY FOR YOURSELF.

 

AUTHORAZE THIS CONTRACT TO BE VALID APPROVAL FOR SERVICES SO AS TO PERMIT BARNEY'S ANGE

CONTRACTS:


PET INFORMATION

PET NAME___________________________ AGE/BIRTHDAY___________

MALE/FEMALE SPAYED/Neutered TAGS Y/N MICRO CHIPPED Y/N

 

FEEDING INSTRUCTIONS (AMOUNT, TIMES OF DAY, ETC)

_________________________________________________________________

__________________________________________________________________

WHAT BRANDS(S) AND/OR TYPES OF FOOD DO YOU FEED?

_________________________________________________________________

FOOD ALLERGIES/RESTRICTED

_________________________________________________________________

MAJOR MEDICAL CONDITIONS (PAST OR PRESENT)________________

________________________________________________________________

HAS YOUR PET EVER BEEN AGGRESSIVE OR BITTEN SOMEONE?

____________________________________________________________

SPECIAL HANDING (SPECIAL QUIRKS DEAF/BLIND, OBJECT GUARDING,

FOOD AGGRESSION, DOG AGGRESSION, STORM ANXIETY,

SEPARATION ANXIETY, FEARS/PHOBIAS ETC)

_______________________________________________________________

________________________________________________________________

________________________________________________________________

SIGN_________________________________________CUSTOMER#________

 

 

PET CARE CONTRACT AND PROFILE

FILL IN ALL APPLICABLE FIELDS TO THE BEST OF YOUR KNOWLAGED

YOUR NAME________________________PHONE ___________________

ADDRESS__________________________________CELL_________________

EMAIL_________________________________________________

HOW DID YOU FINE US?__________________________________________

EMERGENCY CONTACT:_________________________________________

(THEY SHOULD BE ABLE TO MAKE A DECISION ABOUT THE CARE OF YOUR PETS IF WE CAN NOT REACH YOU IN CASE OF AN EMERGENCY) I DO HEREBY WAIVE AND RELEASE BARNEY'S ANGELS SMALL DOG SITTERS FROM ANY AND ALL LIABILITIES OF ANY NATURE, EXCEPT THOSE ARISING FROM Negligence OR Willful MISCONDUCT ON THE PART OF BARNEY'S ANGELS. BARNEY'S ANGELS PET SITTERS AGREES TO PROVIDE ALL SERVICES IN A KIND, RELIABLE, AND  TRUSTWORTHY MANNER. CLIENT AGREES TO NOTIFY BARNEY'S ANGELS PET SITTERS OF ANY CONCERNS WITHIN 24 HOURS OF THE RETURNS. IN THE CASE OF AN EMERGENCY, INCLEMENT WEATHER, OR A Natural Disaster, I AUTHORIZE BARNEY'S ANGELS PET SITTERS TO USE THEIR JUDGMENT FOR THE CARE AND WELL BEING OF MY PET(S)

I ACKNOWLEDGE, I AM RESPONSIBLE FOR ALL MEDICAL EXPENSES AND DAMAGES RESULTING FROM INJURY TO A PET SITTER, OR OTHER PERSONS, CAUSED BY MY PET OR MY NEGLIGENCE. I UNDERSTAND THAT BARNEY'S ANGELS SITTERS CAN TERMINATE THIS CONTRACT IF MY PET BECOMES A THREAT TO THE SAFETY OR HEALTH OF BARNEY'S ANGELS PET SITTERS, DUE TO AGGRESSIVE BEHAVIOR. BARNEY'S ANGELS PET SITTERS WILL ATTEMPT TO CONTACT ME IF ANY ISSUES ARISE. BARNEY'S ANGELS PET SITTERS RESERVES THE RIGHT TO REFUSE SERVICE TO ANY CLIENT AT ANY TIME, FOR ANY REASON.

I ATTEST THAT ALL OF THE ABOVE INFORMATION IS TRUE TO THE BEST OF MY KNOWLEDGE. IF ANYTHING CHANGES FROM WHAT IS LISTED ABOVE I WILL INFORM BARNEY'S ANGELS PET SITTERS BEFORE THE NEXT SERVICE IS SCHEDULED TO BEGIN.

THIS SIGNED DOCUMENT GIVES BARNEY'S ANGELS PET SITTERS AND THEIR REPRESENTATIVES AUTHORIZATION AS NEEDED TO PERFORM THE NECESSARY CARE AS OUTLINED IN THIS CONTRACT. I 

LS PET SITTERS TO ACCEPT EMAILS Reservations, WITHOUT ADDITIONAL SIGNED CONTRACTS OR WRITTEN Authorization.

SIGN NAME_________________________________

PRINT NAME_________________________________CUSTOMER#_______

 

VETERINARY MEDICAL CARE RELEASE FORMS:

IN THE EVENT A MEDICAL EMERGENCY WHERE BARNEY'S ANGELS PET SITTERS CAN NOT CONTACT YOU TO AUTHORIZE CARE IMMEDIATELY AND DIRECTLY, BARNEY'S ANGELS PET SITTERS WILL USE THIS FORM TO OBTAIN CARE. A COPY OF THIS FORM WILL BE SUPPLIED TO YOUR VET TO BE PLACED IN YOUR FILE TO EXPEDITE ANY EMERGENCY CARE NEEDED.

***PLEASE PRINT CLEARLY IN BLACK INK***

PRIMARY VETERINARIANS INFORMATION

NAME OF VET HOSPITAL OR CLINIC:___________________________________________________________

ADDRESS:_________________________________________PHONE_________

NAME OF PREFERRED DOCTOR:___________________________________

I,____________________________(PET OWNER) HEREBY GIVE BARNEY'S ANGELS PET SITTERS MY EXPRESS PERMISSION TO TRANSPORT ANY OF MY PETS FOR CARE TO THE ABOVE MENTIONED VETERINARIAN (OR CLOSEST OPEN FACILITY IF THE PRIMARY VETS OFFICE IS NOT AVAILABLE.)

I UNDERSTAND THAT BARNEY'S ANGELS PET SITTERS WILL TRY TO CONTACT ME AS SOON AS POSSIBLE IN THE EVENT OF A MEDICAL EMERGENCY. IF BARNEY'S ANGELS PET SITTERS CAN NOT CONTACT ME, I GIVE PERMISSION TO BARNEY'S ANGELS PET SITTERS SERVICE TO MAKE MEDICAL TREATMENT DECISIONS AND APPROVE CHARGES UP TO $______________ PER PET (MOST COMMON VALVES ARE $200, $1,000, OR UNLIMITED). I GIVE PERMISSION FOR THE HOSPITAL/CLINC/DOCTOR TO ADMINISTER ANY CARE OR MEDICATION NECESSARY: I WILL KEEP A COPY OF MY CREDIT CARD ON FILE WITH MY VETERINARIAN.

I WILL ASSUME FULL RESPONSIBLITY FOR THE PAYMENT AND/OR REIMBURSEMENT FOR ANY AND ALL VETERINARY SEVICES RENDERED, INCLULDING BUT NOT LIMITED TO DIAGNOSIS, TREATMENT, ASSESSED BY BARNEY'S ANGELS PET SITTERS FOR EMERGENCY TRANSPORTAION CARE, SUPERVISION, OR HIRING OF EMERGENCY CARE GIVERS, SUCH PAYMENTS WILL BE MADE WITHIN 7 DAYS OF SERVICE ENDING/MY RETURNS.

LIST OF PETS

NAME/DESCRIPTION OR BREED:__________________________________________________________

NAME/DESCRIPTION OR BREED:__________________________________________________________

IF ANYTHING CHANGES FROM WHAT IS LISTED ABOVE I WILL INFORM BARNEY'S ANGELS BEFORE THE NEXT SERVICE IS SCHEDULED TO BEGIN.

THIS AGREEMENT IS VALID FROM THE DATE BELOW AND GREANTS PERMISSION FOR FUTURE VERERINARY CARE WITHOUT THE NEED FOR ANNITIONAL AUTHORIZATION EACH TIME BARNEY'S ANGELS PET SITTERS CARES FOR ONE OR MORE OF MY PETS, IN SIGNING THIS CONTRACT, I AGREEE THAT I HAVE THE AUTHORITY TO MAKE HEALTH, MEDICAL AND FINANCIAL DECISIONS REGARDING THE ANIMALS THAT WILL BE SCHEDULED TO RECIEVE SERVICES.

SIGN________________________________________________

PRINT______________________________________CUSTOMER#__________

 

PAYMENT IS DUE BEFORE SERVICE STARTS.

REFUND AND CANCELLATIONS.

8+ DAYS - NO CHARGE REFUND IN FULL. IF CANCELLATION IS WITHIN 

48HRS BEFORE VISIT.

2-7 DAYS - 

20% OF SERVICE TOTAL IS DUE (80% REFUND IF CANCELLATION IS WITHIN 48HRS BEFORE VISIT.)

0-4 DAYS- PAYMENT IN FULL IS CHARGED (NO REFUNDS)

HOLIDAYS - PAYMENT IN FULL IS CHARGED (NO REFUNDS)

THERE WILL BE A $25.00 SERVICE CHARGE FOR EACH RETURNED CHECK!

NO CALL NO SHOW WE WILL NOT WATCH YOUR DOG AGAIN!

 

 

 


 

 

 

 

 

© 2011-2016 barneysangelsdogsitters®