Dog Release - Consultation Form

K. C.
' s In-Home Pet Sitting Service

Animal Release / Consultation Form

Client ___________________________________Dog/dogs name__________________
Client Phone_________________________ #2 _________________________________
Address__________________________________________________________________
City________________________________________State____________Zip__________
Alternate Contact__________________________________ Phone_________________
Email____________________________________________________________________
How did you hear about us? _______________________________________________
Veterinarian__________________________________Phone______________________
Pet Allergies______________________________________________________________
Pet Medications ___________________________________________________________
How Would You Describe Your Pets Temperament?
_____________________________________________________________________________
_____________________________________________________________________________
Briefly Describe Your Pet's Routine (feeding schedule, walking, etc.) _____________
_____________________________________________________________________________

In case of illness or injury I, the undersigned, do herby give my consent for the staff of K.C.s Pet Sitting
Service to have the veterinarian of my choice treat, prescribe medications, or operate on my pet(s) while
they are boarded here, at my expense.

All reasonable efforts will be made to contact the owner at the phone numbers listed before proceeding.

K.C.s Pet Sitting Service is to use all reasonable precautions against illness, injury or escape of my
pet(s).

It is understood that I assume all risks associated with boarding and will not hold K.C.s Pet Sitting
Service responsible or liable for any circumstances that may occur from the care, treatment, or
safekeeping of my pet(s).

Should my pet(s) remain unclaimed 14 days after the agreed upon discharge date, I agree that my pet(s)
may be considered abandoned. Written notice of such will be mailed to my address that I have provided.
If my pet(s) remains unclaimed, I understand that I release all claims to my pet. Abandonment does not
release me from payment of all services rendered.

All dogs must be current on the following vaccinations: Rabies, Bordatella, and DHPP. It is also highly
recommended that all pets be on Heart Worm. We also require written proof from your veterinarian
stating that these vaccines are current. If your dog is a puppy he must have completed all of his booster
shots prior to entering the facility.

All dogs must be free of external parasites (fleas, ticks, ear mites, etc). Pets with external parasites will
be treated at the owners expense.

If my dog(s) is under 6 months of age I understand that they may not have been able to have all
applicable vaccinations I therefore board them at my own risk.

K.C.s Pet Sitting Service Is a free play environment and although my dog(s) will be supervised I
understand that dogs will be dogs and any injuries resulting from rough housing will not be the
responsibility of Kayla Anne Cunningham and K.C.s Pet Sitting Service.
I greatly encourage an in-person meeting with you (the owner of the pet) and your animal, so that the pet
will feel more comfortable with me and my dog once you leave. Before you leave your pet with me, an
Evaluation needs to be done and is based on evaluating the temperament and disposition of your dog.
This evaluation helps to ensure your dog is suitable for the daycare and boarding environment and that
your dog is able to be around other dogs as well.

It is always best to schedule an evaluation prior to drop-off for the first time. We recommend coming in
advance to do the evaluation to make sure that you wont run into any complications on the day of drop-
off. Prior to the evaluation we do need the vaccination information and the registration form to be
completed.

I understand that dogfights are possible even with well-tempered dogs. If medical attention is needed
from a veterinarian as a result of a dogfight, all parties involved may be held financially responsible.

K.C.s Pet Sitting Service allows unaltered dogs to be boarded and participate in-group socialization.
However, we DO NOT board any females during their heat cycle. If a dog left in our care is in heat, or
goes into heat, you will be fined $75.00.

Signature of Owner _________________________________Date________________________

Consultation Form Pet #1
Please fill out one form for each pet.

Pet Name______________________________________________________________________________
Bieeu____________________________________Coloi____________________ Age_________________
Spayeu Neuteieu: Y N uenuei: N F

!""#$%& (%)*+,-*$.%)/
Amount given at each feeuing______________________________________________________________
Bow many times feu each uay______________________________________________________________
Any auuitional feeuing instiuctions__________________________________________________________

0"+).%12$*3 4 5"617$.+/
Bas youi pet evei shown aggiession towaius any othei pet oi peison. If so please explain.

Boes youi pet have possession issues (teiiitoiial ovei foou, toys, ect.).

Boes youi pet enjoy playing with peoplekius.

Boes youi uog enjoy playing with othei uogs. Any issues with this we shoulu be awaie of.

Please list anything youi uog is afiaiu of.

Nay youi uog paiticipate in the following.

Snacks: Y N
Supeiviseu gioup play: Y N
Bog WalksBog Paik visits Y N
Bog Walks wheie the Pet Nay uet in the Watei (cieek, iivei, etc.) Y N
Complimentaiy Bath if neeueu (4 oi moie night stay): Y N

Any meuications. If so please list names anu uosing instiuctions we neeu to follow uuiing theie stay

Anything else we shoulu know about youi uog.

We also offei giooming seivices anu uaily walks foi a small fee. Please let us know if you aie inteiesteu.

8$&%1*,+"_______________________________________________________________________91*":::::::::::::::::::::::::::


Pet Name______________________________________________________________________________
Bieeu____________________________________Coloi____________________ Age_________________

!""#$%& (%)*+,-*$.%)/

0"+).%12$*3 4 5"617$.+/






Snacks: Y N




8$&%1*,+"_______________________________________________________________________91*":::::::::::::::::::::::::::


Pet Name______________________________________________________________________________
Bieeu____________________________________Coloi____________________ Age_________________

!""#$%& (%)*+,-*$.%)/

0"+).%12$*3 4 5"617$.+/






Snacks: Y N




8$&%1*,+"_______________________________________________________________________91*":::::::::::::::::::::::::::

Dog Release - Consultation Form

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K. C.

' s In-Home Pet Sitting Service

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