Pet Care Intake

Contact Info

First Name *

Last Name

Email *

Phone *

Address *

Unit or Suite Number (if applicable)

Access/ Gate Code (if applicable)

Preferred Contact Method *

Travel Accommodation Contact Info (If Applicable)

Emergency Contact

We will only use this information if we cannot contact you in cases of medical or home emergencies. Preferably, this contact is someone not traveling with you.

First Name

Last Name

Phone

Dates Of Service

Number of visits per day, time, of visits and duration will be arranged in person.

Date of departure *

Date of Return *

Service Agreement and Waiver

Napoleon Bunnyparte pet care provides rabbit sitting services. For the purposes of the contract, the term "Napoleon Bunnyparte" refers to the company. The term "client" refers to the pet owner and/or homeowner who are engaging the services of Napoleon Bunnyparte. The term "pet" (in both singular and plural forms) means any animal under the care of Napoleon Bunnyparte

According to the terms set forth herein, I *

direct Napoleon Bunnyparte to take care of the pet identified on the following dates: *

To *

As the client, I understand that potential harm could occur to my pet while in the care of Napoleon Bunnyparte. I agree to release and hold harmless Napoleon Bunnyparte from all liability including its owner or employees, should my pet become lost, injured should my home suffer any damage not due to any negligence on Napoleon Bunnyparte part.

l, hereby grant permission to Napoleon Bunnyparte to act on my behalf, and in my pet’s best interest, by obtaining veterinary care, should deem it necessary for the health and well being of my pet. I further agree to pay for / or reimburse the cost of any and all veterinary or reasonable necessary services whose costs Napoleon Bunnyparte may incur. Further, l attest that my pets are up-to-date on all Rabbit Hemorrhagic Disease vaccinations and will provide proof of it. l also, attest that my pet does not suffer from any life threatening or contagious condition that may be exacerbated by exposure to other pets, or expose other animals to undue risk while in Napoleon Bunnyparte’s care.

Understanding the risks as stated above, I freely and voluntarily enter into this contract, including the release and waiver, with Napoleon Bunnyparte. This contract is full and complete and hereby agree to these terms.

Agree to above terms?

To avoid dietary and lifestyle interruptions, I understand that I am to provide all food and supplies for my rabbit(s) while I am away. Should supplies need to be restocked while I am away, I agree to reimburse Napoleon Bunnyparte according to any provided receipts. Hay and pine litter pellets will be charged according to the latest prices listed on our online store.

Agree to above terms?

Please enter your full name if you agree to above terms *

Today's Date *

Veterinary Authorization and Information

Name of Pet(s) *

Veterinary Clinic's Name *

Clinic's Address

Clinic's Phone

Preferred Doctor (If Applicable)

All rabbits have been vaccinated against Rabbit Hemorrhagic Disease (RHD2) within the last 12 months

If your regular vet is unavailable, we will take your pet(s) to West Boulevard Veterinary Clinic

After Hour's Emergency

In cases of emergency after hours, we will take your rabbit first to VCA Canada Vancouver Animal Emergency Centre (2303 Alberta Street), or Burrard Animal Hospital + Emergency (1788 Broadway, #105) if the former is unavailable.

If you have an alternate after hours emergency clinic, please enter it below

Vetrinary Care Authorization

If any of the pets named above becomes ill or is injured, I request that Napoleon Bunnyparte take the pets to a veterinarian listed above. I give permission for pet sitter to approve treatment to the amount below (please input in below field) I will assume full responsibility upon my return for payment and / or reimbursement for veterinary services up to the above stated amount. If neither of the veterinary offices named above is available, I authorize Napoleon Bunnyparte to take my pet(s) to another veterinarian for treatment. I understand that the pet sitter cannot be held responsible for the results of the veterinary treatment or the loss of my pet(s). This agreement is valid starting on the date below whenever Napoleon Bunnyparte cares for my pets.

Treatment Amount Approval *

I agree to the above veterinary plan and treatment cost *

Client Signature *

Today's Date *

Key Release

I authorize Napoleon Bunnyparte to use my house key during the time they will be caring for my pet(s).

In the event that Napoleon Bunnyparte is required to employ a locksmith to gain entry into my premises due to malfunction of the lock, key or failure to leave a key, it shall be my responsibility to reimburse any expenses incurred upon my return.

Napoleon Bunnyparte maintains the upmost integrity and security of our client’s privacy and key access. Your keys will be returned to you upon completion of services.

Agree to above terms? *

Please enter your full name if you agree to above terms *

Today's Date *

Home Checklist

Alarm System?

If yes, please leave notes disabling/ enabling

Pickup mail/ other deliveries?

If yes, please leave notes on mailbox location

Plants to be watered?

If yes, please leave notes on plant locations/ instructions

Please note any other details about the house that may assist us

Rabbit Information

Rabbit's Full Name

Age

Gender

Identifying marks, colouring, size?

Morning Care and Feeding Instructions (include type of food, when, and amounts)

Evening Care and Feeding Instructions (include type of food, when, and amounts)

Any medical needs? (Include types of medication, when, and amounts if applicable)

Picky bunny? Leave notes on just the way they like things!

Rabbit Information Form 2

(Skip if not applicable)

Rabbit's Full Name

Age

Gender

Identifying marks, colouring, size?

AM Care and Feeding Instructions (include type of food, when, and amounts)

PM Feeding and Care Instructions

Any medical needs? (Include types of medication, when, and amounts if applicable)

Picky bunny? Leave notes on just the way they like things!

Thank you for booking with us!

We will be in contact via email with the next steps closeer to your trip. Please contact us if you have any questions in the meantime!

Have a great day!

Thank you for booking with us!

We will be in contact via email with the next steps closeer to your trip. Please contact us if you have any questions in the meantime!

Have a great day!

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