Pet Sitting Application Form

Before you spend time completing this application form please contact us to check we have availability to meet your requirements!

Section 1 – Owner and Contact Details

Full Name *

Address *

Home Phone *

Mobile Phone *

Email *

1st Emergency Contact with keys (name and number) *

2nd Emergency Contact (name and number) *

Service details *

First visit – date *

First visit – time *

Last visit – date *

Last visit – time *

How many visits per day *

Your vet's name *

Your vet's address *

Your vet's phone number *

Pet's name *

Breed *

Colour *

Age / Date of birth *

Sex *

General health and injuries *

Does your pet have good recall or will he/she run off? *

Would you prefer we kept your pet in at all times? *

What type of lead / restraint do you use? (if applicable) *

General behaviour and energy levels (when inside and out)? *

Any particular fears or dislikes? *

Has your pet ever shown aggression or bitten? *

Can you touch any part of your pet's body? *

Behaviour around new people? *

How did you hear about Barney's World? *

Signature (full name) *

Date *