Your Name *
Your Name
Checkbox *
I do hereby waive and release Kemberly, Terry and Amanda Brown, pet care givers, (hereby known as THE BROWN TEAM) from and all liabilities of any nature for the actions of myself, my pet(s), or someone who holds a key to my home, except those arising from negligence or willful misconduct on the part of THE BROWN TEAM.
THE BROWN TEAM agrees to provide all services in a kind, reliable and a trustworthy manner.
Or another party with the name of *
Or another party with the name of
Alternate Party Phone Number *
Alternate Party Phone Number
THE BROWN TEAM also agrees to attempt to contact client or other party stated upon any concerns regarding their home and/or pet(s) before action outside of normal duties is taken by THE BROWN TEAM. In the case of inclement weather or a natural disaster, I authorize THE BROWN TEAM to use reasonable judgment for the care and the well being of my pet(s) and/or house – which is choice #1, unless otherwise stated here as choice #2 or #3 – see company polices.
My pet(s) name, kind of animal - if a cat, are they declawed, their breed, age, sex (spayed or neutered) and color (use the back if necessary):
By checking the box below you are agreeing with the statement below* *
I attest that my pet(s) are up to date on all required shots – copies are in the yellow folder. THE BROWN TEAM cannot walk them outside of your property without tags attached, correct collar and information needed in yellow folder. I would prefer THE BROWN TEAM to transport my pet (s) to my veterinarian (info below) for the medical assistance in the case of an emergency or/and care. I give permission for THE BROWN TEAM to use a vet of their choice if my vet is unavailable. I also give my permission to THE BROWN TEAM to approve any veterinarian treatment at my absence, if I am unreachable by phone. I understand that all the payments for any treatment are my responsibility:
Vet Information
1. Vet’s NAME, ADDRESS and PHONE #: 2. What kind of last flea/tick application given: 3. Date of next application of flea/tick treatment:
Permission to apply flea/tick application/shampoo if needed
Do you want me to call you if a bath is needed
Do you prefer your groomer, (info below) to give the bath or THE BROWN TEAM
Groomer’s 1. NAME, 2. ADDRESS and 3. PHONE#: 4. Date and Time the BROWN TEAM will take pet to groomer:
Do you have an alarm system? *
If yes, THE BROWN TEAM will need their own code for alarm system and their own password. Remember to give your alarm company KEMBERLY BROWN’S name and her phone # to contact while you are away (give them the dates) if alarm goes off. I understand that if THE BROWN TEAM is not at top of call list while I am away, I hereby release THE BROWN TEAM of any and all expenses relating to alarm system/police: *
1. Alarm Company’s NAME and 2. PHONE# 3. ALARM CODES:
Home Care information
1. Garbage day: 2. Lights rotated or on timers? 3. Plants watered - where (best to put them all together)? 4. List all persons who will be coming in your home while you are gone. 5. Their contact #’s - friends, cleaning people, etc.: 6. Please state where THE BROWN TEAM is to leave key/garage door opener outside upon their last visit:
How will you be traveling
Provide information below
1. Mealtime for my pet(s): 2. What kind of food and the amount given at each meal: 3. Snacks they can have: 4. Allergies: 5. Medication to be given, dates and times:
Please leave out on the counter this form, leashes (please have proper collars on your pets with location tag information), food, snacks, medicine, small trash bags, cleaning supplies - along with a broom, dust pan and vacuum that is in plain sight, etc... Some of the clean up happens on THE BROWN TEAM’S last visit (like sweeping), so please advise if coming home early.
PLEASE MAKE SURE ALL DOORS AND WINDOWS ARE LOCKED UPON LEAVING. Consider turning water off at main or where you can - hot water tanks, under sinks, washers and toilets. Appliances that are not being used - turned off. Close doors where possible that your pet really does not need to go in – less rooms for THE BROWN TEAM to check on at each visit. Make sure doors cannot close where pet (s) come and go (cat’s and their litter boxes).
Do you want a radio or T.V. left on during the day?
Let a neighbor know you are leaving. Give them our # so they may contact us for any reason if needed. I agree to contact/text THE BROWN TEAM at 780-5467 upon returning home, no matter how early or late - voicemail might pick up. If I fail to do so, I might be charged another visit charge, if THE BROWN TEAM has to make the next would be scheduled visit. *
A log of visits and duties preformed, will be left for your viewing upon returning home.
Extended walks will be an extra charge*
Prices will vary for daily stays in Kemberly’s home (not a kennel) if the need arises. Pet(s) must be picked up by 10 a.m. so as to not incur another day charge.
Shampoo $20 small pet, $25 large pet. Groomer/vet or errand runs, $20.
Holidays will be an extra $10 per visit: Easter Day, Mother’s and Father’s Day, Memorial Day, 4th of July day. Labor Day, evening before Thanksgiving and day of Thanksgiving, evening before Christmas and day of Christmas, New Year’s eve and the day of the New Year.
Payment for services is due in full upon THE BROWN TEAAM’S first pet visit to client’s home, post dated check (the day of your return) may be left on the counter. There will be no refunds due to early returns.
I understand that THE BROWN TEAM can terminate this contract, if my pet becomes a threat to their safety or health due to aggressive behavior. I entrust THE BROWN TEAM to contact me in any and all cases if this threat should arise. In the case that THE BROWN TEAM cannot reach me, I authorize THE BROWN TEAM to place my pet(s) in a licensed kennel with all the charges arising there from to be paid by myself. THE BROWN TEAM reserves the right to refuse service to any client at any time for any reason. *
I attest that all of the above information is true to the best of my knowledge. I am responsible to alert THE BROWN TEAM if any of the above information should change in the future. If anything changes from what is listed above, I will inform THE BROWN TEAM in writing before the next service is scheduled to begin. This contract is valid for all future pet-sitting services. *
Contact information for client
I attest that all of the above information is true to the best of my knowledge. I am responsible to alert THE BROWN TEAM if any of the above information should change in the future. If anything changes from what is listed above, I will inform THE BROWN TEAM in writing before the next service is scheduled to begin. This contract is valid for all future pet-sitting services.
Signature
You will sign this in person (with a member of the brown team present)

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