Give us the deets!We can’t wait to hear all about your beloved family member(s)! Name * First Name Last Name Phone (###) ### #### Email * Name(s) of pet(s) * Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Name and contact information of vet * Just in case we need to get your pet help in an emergency Media Release * Can we post cute pictures of your pet on our social media? Yes! No, thank you! Medications and dosage requirements: Pet(s) behavioral preferences Examples: loves their leash, bite history, tricks, doesn't like the mail man, etc Customer agrees to indemnify Kiki's Animal Services, and its' agents, of any damages incurred as a result of the actions of the animal outside of the home * I agree I do not agree How long can pet be left alone? * 4 hours 6 hours 8 hours Other: I will explain later Previous & Current health conditions * I understand that Kiki's Animal Services are not Veterinarians. I consent to (in the event of a medical circumstance and/or emergency) Kiki's Animal Service, and its' agents, has the right to seek medical attention for said pet(s), and that I, the owner, am liable for any financials incurred * I agree I do not agree I agree to not hold Kiki's Animal Service liable for any damages incurred as a result of negligence on behalf of Kiki's Animal Service and/or its' agents I agree I do not agree I understand services are due at contractual agreement, and that services will not be completed without prior payment * I agree I do not agree Thank you!
