Name 1 *

First Name

Last Name

Phone 1

(###)

###

####

Name 2

First Name

Last Name

Name 3

First Name

Last Name

Phone 3

(###)

###

####

The pet-sitter has my permission to seek treatment for my pet(s) in emergency situations only – non life-threatening conditions can wait until I return. I authorize veterinary care with fees not exceeding the below amount. *

Yes, I agree

No, I do not agree

I will allow my pet(s) to be treated for non-life-threatening conditions and in emergency situations when Pets and Vets and Partners and the above pet-sitter deem it to be necessary. *

Yes, I agree

No, I do not agree

I agree to this contract knowing that I will be financially responsible for any expenses incurred as a result of this treatment and care approved above. I understand that Pets and Vets and Partners will give my pet(s) the best care possible as requested by the above pet-sitter, and I release and hold harmless Pets and Vets as Partners from any liability concerning my pet’s health.

Yes, I agree

Select the pets the Pet Sitter Consent applies to. *

All pets listed on my clinic account

Only pets listed below

Effective Start Date

MM

DD

YYYY

Effective End Date

MM

DD

YYYY

Owner Name

First Name

Last Name

Owner Phone Number

(###)

###

####

E-signature *

Please click this box and type your name into the boxes below to elexctronically sign this document.

Name

First Name

Last Name