Mobile Grooming, Dog Training and Pet Care
Don't Worry, We Come To You!
Kibbles and Clips
Boiling Springs, SC 29316
ph: 864-597-9940
fgant
Felecia Gant
Kibbles and Clips
Mobile Grooming and Pet Care
864-597-9940
www.kibblesandclips.com
Pet Care Agreement Form
Client Name: _____________________________________________________________________________________________
Complete Address: ____________________________________________________________________________________________
Phone #’s: (H) ______________________________ (W) _____________________________ (C) ____________________________
E-Mail: _____________________________________________________________________________________________
Service beginning date: ________________________ Service ending date: ________________________ Number of visits per day: ________
Expected departure date & time: ___________________________ Expected return date & time: __________________________
Key received: Y/N
Does anyone else have a key? Y/N Names: _________________________________________________________________________
Key left on final visit: Y/N Key kept by sitter for future services: Y/N
(1)_____________________ (2)_____________________ (3) __________________ 4)__________________
EXERCISE/OUTSIDE:
Walks? Y/N Locations? ___________________________________ Leash locations: _______________________________________
Type of fence: Electric: ______ Wood: ______ Chain Link: ______ None: ______ Other: ______
PET CLEAN-UP:
Litter box location & instructions: ________________________________________________________________________________
Accident clean-up instructions: __________________________________________________________________________________
(Particular spot remover/cleaner?)
HEALTH:
Are your pet(s) currently on vaccinations? Y/N Rabies tags visible and on pet? Y/N
If no, on file at vet Y/N Rabies tag & year # __________________________________
HOME CARE:
Would you like any of the following services provided at no additional charge?
Indoor plants watered: Y/N Where? _____________________________ Mail/Paper brought in: Y/N
Garbage/recycling take to curb? Y/N When? ______________________
TV/Radio left on for pet(s): Y/N Where? ________________________ Lights rotated: Y/N Where? ____________________
Security check instructions: ____________________________________
Do you own or rent your home? ___Own ___Rent If renting, landlord’s name and telephone #
(in the event of emergency) _______________________________________________________________
Emergency Contact Relationship Telephone Key?
______________________________ ______________________ ___________________ __Yes __ No
______________________________ ______________________ ___________________ __Yes __ No
EMERGENCY INSTRUCTIONS:
_________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
___________________________________________________________________________________________________________
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
If yes, who is your carrier and agent? ____________________________________________________
Is there a WEAPON in the house? Y N Which car/truck will be at home? __________________________________________
Location of fuse box: __________________________________________________________________________________________
Location for water shut off: ______________________________________________________________________________________
Notify your alarm company that “Kibbles and Clips” will be caring for your pets.
Notify the Gate Guards to allow “Kibbles and Clips” access to the community during your absence.
If possible provide a gate card or gate remote control unit for use by your pet sitter.
Services Requested:
PAYMENT:
1) Pet care services will be provided at the rate of
$_______ per visit
x _______ total number of visits
= _______ sub total
+ _______ for any Holiday occurring during service period; specify _________________
- _______ discounts, coupons, gift certificates
= _______ total due
Rates for subsequent services are subject to change.
1) I agree to reimburse “Kibbles and Clips” for any additional fees for tending to emergency or veterinary care as well as any expenses incurred for any other unexpected home, food, or other supply needs. Client also agrees to reimburse “Kibbles and Clips” for additional time accrued at the rate of $36.00 per hour in the case of such an emergency.
2) As a first time client, I agree to pay in full at the time of the consultation visit or at the time of reserving service for any given dates. For future service periods I agree to pay the deposit of 50% of total and leave payment (in a predetermined spot in my home) for the balance at the first visit of that scheduled service or mail payment to: “Kibbles and Clips” by the start of the first visit. I understand that if there is an unpaid balance of over ten (10) days for pet care, “Kibbles and Clips” reserves the right to charge a 5% per month interest charge on any balance due beyond 10 days of your return.
3) If I arrive home early I have the right to decide if I wish “Kibbles and Clips” to continue to care for my pets or not but I understand that FULL payment is still due as “Kibbles and Clips” has reserved this time slot in order to care for pets.
4) I understand that if my absence must be extended “Kibbles and Clips” requires direct confirmation (not a phone message or email) for the unscheduled visits. This is to avoid the possibility of missed messages that could result in interrupted care of my pets.
LIABILITY:
1) Customer expressly waives and relinquishes any and all claims against “Kibbles and Clips”, its employees and associates, except those proven to be directly attributed to negligence on the part of “Kibbles and Clips”.
2) “Kibbles and Clips”, company owner, agents, assigns, successors and heirs are not liable and are completely indemnified for any and all liability stemming from the act(s) or failure to act of third parties, whether known or unknown, including but not limited to, friends, neighbors, relatives or other service persons, that shall enter your residence for any purpose while “Kibbles and Clips” is caring for your pets.
3) It is expressly understood and agreed that “Kibbles and Clips” shall not be held responsible for any damage to Client's property, or that of others, caused by Client's pet(s) during the period in which the pets are in the care of Kibbles and Clips” I also agree that it is my responsibility to notify “Kibbles and Clips ” of any pet that has ever caused an injury to any human or other pet.
4) If a pet has a history of biting or other aggressive behavior, “Kibbles and Clips” reserves the right to refuse service. Bites must be reported to the local authorities as provided by law. The owner will be liable for the representative's medical care expenses and damages that result from an animal bite.
5) I attest to the fact that all licenses and vaccinations required by the State of_________, and City in which I reside and/or the County of __________ is current according to law. __________ (initial here)
Other requests agreed to by “Kibbles and Clips”
_____________________________________________________________________________
_____________________________________________________________________________
Names and numbers for people with access to my home/property:
(Family, friends, electrician, plumber, pool service, maid service, construction workers, etc)
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
FUTURE SERVICES: I AUTHORIZE THIS AGREEMENT TO BE VALID APPROVAL FOR FUTURE SERVICES SO AS TO PERMIT “Kibbles and Clips” TO ACCEPT MY TELEPHONE OR EMAIL RESERVATIONS AND ENTER MY PREMISES WITHOUT ADDITIONAL SIGNED CONTRACTS OR WRITTEN AUTHORIZATIONS ONLY WITH THE UNDERSTANDING THAT DATES AND PRICING ARE SUBJECT TO CHANGE. Key on file ______________ (initial here)
I have read, signed, and agree to the aforementioned Policies and Procedures that are a part of this service agreement. I also agree to the services that are listed within this service. I have been provided with a signed copy for my records. I have completed and signed required veterinary release forms.
SIGNATURE DATE
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Copyright 2009 Kibbles and Clips. All rights reserved.
Kibbles and Clips
Boiling Springs, SC 29316
ph: 864-597-9940
fgant