Name(s) of owner(s):
Address:
Phone #:
Name of Pet(s):
Breed of Pet(s):
Name of Vet:
Address:
Phone #:
ER Contact/Friend:
Phone #:

** ALL ATTEMPTS WILL BE MADE TO CONTACT YOU AND YOUR EMERGENCY CONTACT BEFORE ANY MEDICAL CARE IS REQUESTED **

I ____________________________ hereby give Lynn Kay of Lots Of Love Dog Sitting permission to treat my pet(s) listed above, if there is any emergency medical care needed.

I ____________________________ will be wholly responsible for all costs associated with the complete care of my pet(s) medical care and if necessary, boarding of my pet(s) at the veterinarian.

I ____________________________ will assume full responsibility upon my return for full payment and/or reimbursement of veterinary services rendered.

I ____________________________ understand that Lynn Kay of Lots Of Love Dog Sitting cannot be held responsible in any way for the results of the veterinary treatment or the loss of my pet.

Pet Owner(s): ______________________________ Date: __________________________

Name(s) of owner(s)/renter(s):
Address:
Electrician:
Handyman:
Plumber:
Other House/Apt ER info:
Other House/Apt ER info:

** ALL ATTEMPTS WILL BE MADE TO CONTACT YOU AND YOUR EMERGENCY CONTACT BEFORE ANY EMERGENCY REPAIRS ARE CONTRACTED **

I ____________________________ hereby give Lynn Kay of Lots Of Love Dog Sitting permission to be in my home at the address listed above.

I ____________________________ hereby give Lynn Kay of Lots Of Love Dog Sitting permission to call the above House/Apartment Emergency #'s for service in case of a House/Apartment emergency, for the address listed above.

I ____________________________ will be wholly responsible for all costs associated with any House/Apartment Emergency that may occur while I am away, for the address listed above.

I ____________________________ will assume full responsibility upon my return for full payment and/or reimbursement of any House/Apartment Emergency services that were rendered, for the address listed above.

I ____________________________ understand that Lynn Kay of Lots Of Love Dog Sitting cannot be held responsible in any way for any House/Apartment Emergency that may occur while I am away, for the address listed above.

Home Owner(s)/Renter(s): ______________________________ Date: __________________________

Copyright: 1999-2016-Lots Of Love Dog Sitting-All Rights Reserved

Pet Sitting-(Dog Sitting & Cat Sitting) - Pet Care-(Dog Walking) - Dog Care & Cat Care -McLean, VA 22101