Loving Pet Care in Your Home

(757) 253-8022

info@pawpurrspets.com

ATTENTION NEW OR POTENTIAL NEW CIENTS!! 

WE ARE CURRENTLY ONLY ACCEPTING CAT OR SMALL EXOTIC ANIMAL NEW CLIENTS AT THIS TIME.  THANK YOU.
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Service Request - Daily Dog Walks

This request must be confirmed by our office!
If your contact information (emergency, vet, relative, neighbor) has been previously provided, you may leave those fields blank.

Client Information

Name:  

Has your Address Changed? Yes    No    If yes, please complete the following

New Address:  

Suite, Apt. #, etc.  

City/County:  

Zip Code:  

Dogs Requiring Walks:

E-mail:  

Home Phone:  

Cell Phone:  

Work Phone
Contact Preference for Confirmation:
Temporary or Sporadic Daily Dog Walking Service
Choose this option if you require daily dog walking services for only a short period of time or if your needs change week to week.  Please indicate when you would like service to begin and end, how many daily walks you will need each day, what days of the week are required, approximately what time frame each day you prefer and how long of a walk you would like.
First Date of Service:
Last Date of Service:
Days of the week required:

Sunday    Monday Tuesday  Wednesday

Thursday Friday   Saturday
How many walks per day:
Time frame for first walk:
Time frame for second walk:
Walk length:
Daily Dog Walking Service
Choose this option if you would like to set up a schedule for daily dog walking services.  Please indicate when you would like service to begin, how many daily walks you will need per day, what days of the week are required, approximately what time frame each day you prefer and how long of a walk you would like.
Service to Begin:
Days of the week required:

Sunday    Monday Tuesday  Wednesday

Thursday Friday   Saturday
How many walks per day:
Time frame for first walk:
Time frame for second walk:
Walk length for first walk:
Walk length for second walk:
Where will you be and how can we reach you during the day?
 
Location: 
Contact Person:
Phone:     
Cell 1:
Cell 2:
   
In the event of an emergency, who can we call if we cannot reach you?
   
Name:
Phone:
Relation:
   
Name:
Phone:
Relation:
   
Who else has access to your home while you are at work (maid service, repair service, neighbor, family, etc.)?
   
Name:
Phone:
Relation:
   
Name:
Phone:
Relation:
   
Veterinary Information
   
Has your vet info changed?  Yes   No   If yes, please complete the following
Vet/Clinic:
Phone:
Credit Card on file with vet?  Yes   No
Are all of your pets current on vaccinations?   Yes   No
Are your pets on any medications?   Yes   No
If yes, please explain: 
 
Changes in Pet Care Routine
 
Special Requests

Need a vet??

Click here for a list of vets in the Williamsburg area

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