Pet Care/ Home Instructions

Name First Last
Address
Street Address

Address Line 2

City

State / Province / Region

Postal / Zip Code

Country
Email
Email
Home Phone - (###) - ### ####
Cell Phone - (###) - ### ####
Work Phone - (###) - ### ####
Pet Information
Name of Pet(s), Breed(s), Age(s)
Instructions
Meals and Snacks
Location of Food/ Snacks
Location of Leashes
Hiding Places
Would you like the Mutt Hutt to bring in your mail/ newspapers? Yes No
Is your mailbox locked? Yes No
If yes where is the key?
Take out garbage? Yes No
If yes, when and where?
House Key? Yes No
Daily Routine
Additional Info
Medical History
Current Medications
Allergies
Are your pets vaccinated? (Proof will be required at consultation) Yes No
Is your pet micro chipped? Yes No
Does your pet have any known history of biting, scratching or running away? Yes No
If yes, pleas explain in detail.
Does your pet get along with other pets? Yes No
If you answered no, please explain in further detail.
Pet emergency medical information:
Name of veterinarian: First Last
Address
Street Address

Address Line 2

City

State / Province / Region

Postal / Zip Code

Country
Phone - (###) - ### ####
Name of emergency veterinary clinic:
Address
Street Address

Address Line 2

City

State / Province / Region

Postal / Zip Code

Country
Phone - (###) - ### ####
Emergency Contact First Last
Relationship
Phone - (###) - ### ####
Home emergency and security info:
Do you have security system? Yes No
Please advise your company you are using our service!
Entry
Exit - (###) - ### ####
Password
Location
Where is the nearest phone?
Gas Company Name:
Gas Company Phone: - (###) - ### ####
Location gas shut-off valve.
Water Company Name:
Water Company Phone: - (###) - ### ####
Location of water valve shut off
Electric Company Name:
Electric Company Phone - (###) - ### ####
Location of Breaker Box
Do you rent or own your residence? Yes No
Does anyone else have access to your property during your absence (housekeeper, handyman, landlord gardener, neighbor, relative or friends)? Yes No
Gardener or Housekeeper dates & times:
Do you have homeowner / liability insurance that would cover your home in an emergency, or injuries caused, in the event of bites, scratches, mauls, etc? Yes No
Melissa’s Mutt Hutt LLC will use all reasonable efforts to prevent harm to your pet and to protect others from harm caused by your pet. You are responsible in case your pet is involved in an altercation with another pet or human, other than for gross negligence of Melissa’s Mutt Hutt. Some of these matters may be covered by your Homeowners or Renters Insurance, however regardless of whether you have such insurance, you are responsible for any damages caused your pet. Yes No
Initials
In case of emergency, we give you permission to authorize emergency medical care for our pet(s) as deemed necessary by a veterinarian, and we will be responsible for such payment of care. Yes No
We give you permission to authorize emergency work on our property if necessary, to prevent damage, and we will be responsible for such payment of work. Yes No Call us first
Please not MMH does walk in the rain, and we need 24 hours notice if you would like to cancel a walk or you will be charged. Our services are guaranteed (if you are not satisfied, you do not pay) and daily detailed notes will be made by our trained staff.

Payments for pet sits are due the day pet sit begins. Pre-paid non-refundable discounted dog walking booklets must be used on set schedule at least twice a week. Invoices are billed electronically. We accept checks or cash and payments should sent to Melissa's Mutt Hutt at 4208 Highland Avenue, Manhattan Beach, CA 90266
Date / MM / DD YYYY
Signature

Pet Care/ Home Instructions

Pet Care/ Home Instructions

Pet Information

Instructions

Medical History

Pet emergency medical information:

Home emergency and security info: