OTHER DOCS

THE WEST VILLAGE CAT SITTER & MANHATTAN KITTIES LLC™

The Cat Sitter Referral Agency To Trust!

ARE YOU COMFORTABLE FOR WVCS TO POST ON THEIR INSTAGRAM AND FACEBOOK PAGE PICS OF YOUR CUTIES? *

I am COMFORTABLE for WVCS-MK to post pics or videos of my cats on their Instagram and or Facebook Page (NO TAGGING PLEASE)

I am NOT COMFORTABLE for WVCS-MK to post pics or videos of my cats on their Instagram and or Facebook Page (NO TAGGING PLEASE)

NUMBERS OF VISITS/FEEDINGS SAME DAY ON REGULAR DAYS - if you REQUIRE specific time frames when visits have to be done, there might be a premium per visit of $10 - we can discuss that later *

MY PREFERRED VETERINARIAN and/or hospital/clinic is: *

REGISTRATION - CLIENT (first and last) *

Street Address including your apartment number *

Phone number of above veterinarian (doctor/hospital/clinic) *

CATS FEEDING INSTRUCTIONS please be as precise with quantity as possible (SIZE OF CANS / AMOUNT OF DRY / IF AUTO FEEDER, how much and when it is automatically dispensed) *

CATS - Names, genders, ages and physical descriptions *

NAMES OF CATS *

OTHER SERVICES (some are free some are not)

Mail (free)

Plants (up to 5 free then depending an extra fee may apply)

Scrubs ($15 charge each litter box)

Meds/Vitamins (free if in food and no need for sitter to say to make sure it is eaten - $3 to $15 if has to be administered and taken during visit)

Insulin shots are administered by an experienced vet tech that WVCS-MK subcontracts - WE DO NOT GIVE INSULIN SHOTS OURSELVES

Fluids are administered by an experienced vet tech that WVCS-MK subcontracts - WE DO NOT ADMINISTER FLUIDS OURSELVES

Eye wipes / ointment etc... (could be free or $3 - to be discussed)

VETERINARY RELEASE - THE WEST VILLAGE CAT SITTER and/or MANHATTAN KITTIES and/or the selected sitters. In the event that any of my cats appear to be ill, injured, or at significant risk of experiencing a medical problem at the start of service or while in the care of The West Village Cat Sitter and/or Manhattan Kitties and/or the selected sitters, I, THE OWNER (SEE BELOW FOR NAME) give permission to The West Village Cat Sitter and/or Manhattan Kitties and/or the selected sitters to seek veterinary service from a veterinarian or a veterinary clinic. NAME OF OWNER *

Address of above Veterinarian (doctor/hospital/clinic) *

REGISTRATION FORM

I ask The West Village Cat Sitter and/or Manhattan Kitties and/or the selected sitters to inform the attending clinic or veterinarian of my requested total diagnosis and treatment limit of: AMOUNT PER CAT *

Cell Phone Number *

ICE #1 CELL PHONE NUMBER *

EMERGENCY CONTACT NAME # 1 (friend/family/siblings) - please specify relationship to you *

KEYS - unless doorman has keys, we need 2 full sets of keys at least for the duration of the contract *

Drop off/Pick-up (WVCS-MK does not keep them on file after contract is over)

Keep on File until further notice (FREE service)

Doorman will have a key for WVCS-MK

Other (please specify under COMMENTS below)

KEYS - PHONE NUMBER OF PERSON WHO HAS A SET OF KEYS *

KEYS - SPARE - WHO ELSE HAS A SET OF KEYS (close to NYC) in case of an emergency *

I understand that efforts will be made to contact me regarding any treatments, illness, injury, or potential problems as soon as the condition is deemed not life threatening and/or contact is possible. I understand that The West Village Cat Sitter and/or Manhattan Kitties and/or the selected sitters work hard to prevent accidents and injuries, and that such problems may occur no matter how well a pet is cared for. I agree to allow The West Village Cat Sitter and/or Manhattan Kitties and/or the selected sitters to use their best judgment in handling these situations, and I understand that The West Village Cat Sitter and/or Manhattan Kitties and/or the selected sitters assume no responsibility for the actions and decisions of the veterinary staff, the health, or death of my cat(s). I will assume full responsibility for the payment and/or reimbursement for any and all veterinary services rendered, including but not limited to diagnosis, treatment, grooming, medical supplies, and boarding. Such payments will be made within 14 days of the initial incident. I also agree to be responsible for all Special Service fees assessed by The West Village Cat Sitter and/or Manhattan Kitties and/or the selected sitters for emergency transportation, care, supervision, or hiring of emergency caregivers, and will pay such fees within 14 days of each incident. I further authorize The West Village Cat Sitter and/or Manhattan Kitties and/or the selected sitters and my primary veterinarian(s) to share all of the medical records of all of my cats with veterinary clinics in an emergency in the interest of providing the best care for my ill or injured animal(s). Every cat at the site of service will be current (per my veterinarians recommendations) on its rabies vaccinations prior to the arrival of any caregiver. I will also make arrangements to guarantee that each cat will remain current on its rabies vaccinations throughout each service visit period. I agree to notify The West Village Cat Sitter and/or Manhattan Kitties and/or the selected sitters of any signs of injury or possible illness before any visit as soon as the condition appears. The West Village Cat Sitter and/or Manhattan Kitties and/or the selected sitters reserve the right to cancel service at any location where a cat with a potentially infectious condition exists. The West Village Cat Sitter and/or Manhattan Kitties and/or the selected sitters strive to provide clean, safe service to each of our clients. In doing so, The West Village Cat Sitter and/or Manhattan Kitties and/or the selected sitters strongly recommend that each cat be dewormed and vaccinated according to veterinarian recommended standards. This agreement is valid from the date below and grants permission for future veterinary care without the need for additional authorization each time The West Village Cat Sitter and/or Manhattan Kitties and/or the selected sitters care for one or more of my cats. I understand that this agreement applies to all of the cats within The West Village Cat Sitter and/or Manhattan Kitties and/or the selected sitters care. In submitting this form, I agree that I have the sole authority to make health, medical, and financial decisions regarding the cats that will be scheduled to receive service. DATE *

EMERGENCY CONTACT NAME # 2 (friend/family/siblings) - please specify relationship to you

Email Address *

HOUSE RULES (shoes off, lights on, rooms closed, etc...) if none, WRITE NONE, thanks *

ICE #2 CELL PHONE NUMBER

BUILDING EMERGENCY CONTACT NAME (super / landlord - please specify) *

BUILDING ICE CELL PHONE NUMBER *

CATS TEMPERAMENTS - PARTICULARS

CATS HEALTH HISTORY - MEDICATION IF ANY (please provide name of medication, reason, exact dosage and frequency and how to administer) *