Additional Info This form is a supplement to the booking form for clients coming over from Rover for the first time. Name * First Name Last Name What is your Venmo handle or phone number associated with Zelle? Please provide the following information about each pet. Include a separate paragraph for each pet. Include: Name, Sex, Species, Breed, Birthday/Gotcha Day, Weight Let's Talk Diet and Feeding Schedule Details to include: time(s) of feeding, free feed, amount of food, treats, supplements, medications, restrictions/allergies Play & Enrichment Favorite toys, activities, any training you are currently working on, things to avoid, reactivity, etc. Mood/Demeanor I want to hear all about their personality! Any leash/dog aggression? Where do they hate being pet? Have they attempted an escape? Etc. Anything else I should know? Yes No Emergency Contact * Name and Phone Number IN CASE OF EMERGENCY * In the event of the serious illness or death of my pet while in Provider’s care, I authorize Provider to make the following arrangements on my behalf . I will always attempt to contact you first, and then your emergency contact before making any decisions. This is in the event that I am unable to reach you. Veterinary Name/Doctor * Vet Address & Phone Number * Preferred Emergency Vet Monetary Limit for ER Vet Care * *Please leave a credit card sealed and labeled in an envelope in your home, or have one on file at vet's office. No Monetary Limit Up To X Amount Pet Care Service Agreement * This Pet Care Services Agreement (“Agreement”) is entered into between Jessica Cornella (“Provider”) and You, the client. If viewing on mobile device, Agreement can be found at the bottom of this page. For good and valuable consideration, the receipt and sufficiency of which is hereby acknowledged, the parties agree as follows: Select an option I Agree I Do Not Agree I Have Questions Thank you! I will be in touch within 48 hours SERVICE AGREEMENT