Baltimore Dog House Sitting Intake Form

Thank you for choosing Baltimore Dog for your pet’s sitting services. We’re excited to help keep your pet happy and healthy. Our goal is to become your pet’s best friend.

To get started, please complete this form as thoroughly and transparently as possible before your consultation appointment. Doing so will speed up the registration process. It will also provide us with the essential details needed to understand your pet’s needs.

Providing detailed information now helps us offer personalized care right from the beginning. As a result, we can better meet your pet’s needs. We appreciate your cooperation and look forward to working with you and your pet. You can find more information on our FAQs page.

General Info - Step 1 of 6

About You

Name *

First

Last

Email *

Cell Phone *

Home Phone

Where did you hear about Baltimore Dog? *

• Facebook
• Instagram
• Nextdoor
• Friends/Family
• Somewhere Else

Please provide a name. *

Please specify. *

Instagram Handle (So we can tag your pet! @baltimore.dog)

(If applicable)

T-shirt size(s)

T-shirt size(s)

Address *

Address Line 1

Address Line 2

City

--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingState

Zip Code

Access instructions. *

If entry will be made by key, Baltimore Dog requires 2 copies before the first scheduled date.

Emergency Contact Info

Contact Name *

Please provide a local contact other than the persons you will be traveling with.

Relationship *

Please provide a local contact other than the persons you will be traveling with.

Contact Phone *

Does your emergency contact have a key? *

• Yes
• No

Next

About Your Pet

Number of Pets *12345

Name *

Birthday *

Breed *

Sex *MaleFemale

Neutered/Spayed *YesNo

Name (2)

Birthday (2)

Breed (2)

Sex (2)MaleFemale

Neutered/Spayed (2)YesNo

Name (3)

Birthday (3)

Breed (3)

Sex (3)MaleFemale

Neutered/Spayed (3)YesNo

Name (4)

Birthday (4)

Breed (4)

Sex (4)MaleFemale

Neutered/Spayed (4)YesNo

Name (5)

Birthday (5)

Breed (5)

Sex (5)MaleFemale

Neutered/Spayed (5)YesNo

Is/are your dog(s) reactive toward humans? *

• Yes
• No
• Other

Other (Please Specify).

Is/are your dog(s) reactive toward other animals? *

• Yes
• No
• Other

Other (Please Specify).

Does/do your dog(s) have a history or record of biting? *

• Yes
• No
• Other

Other (Please Specify).

Is/are your dog(s) comfortable for car rides? *

• Yes
• No
• Other

Other (Please Specify).

Is/are your dog(s) fully house trained? *

• Yes
• No
• Other

Other (Please Specify).

Is/are your dog(s) fully leash trained? *

• Yes
• No
• Other

Other (Please Specify).

Has/have your dog(s) been formally trained off leash? *

• Yes
• No
• Other

Other (Please Specify).

Is/are your dog(s) fully crate trained? *

• Yes
• No
• Other

Other (Please Specify).

Can your dog(s) swim? *

• Yes
• No
• Other

Other (Please Specify).

Is your dog(s) up to date on the following shots and medications? (Check if yes) *

• Rabies
• Bordetella
• Distemper
• Heartworm
• Flea/Tick Treatment
• All
• Not Fully Up To Date

You will need to provide a current record of treatment upon the initial meeting prior to be accepted as a client.

Not Fully Up To Date (Please Specify).

Veterinarian / Animal Clinic

Name

Location

Phone Number

House Sitting and Overnight Care

Preferred Location of Stay *Pet's HomeSitter's HomeEither Home

Departure Date and Time *

Date

Time

Return Date and Time *

Date

Time

Location of Supplies / Gear

Leash(s)

Collar(s)

Crate(s)

Food & Water Bowl Locations

Waste Bags

Waste Disposal Container

Feeding

Dog Food Type & Location

Meals Per Day *

Amount Per Meal *

Dietary Restrictions or Allergies

Medication

Name

Dosage

Frequency Per Day

Next

Pet Instructions

Instructions for when Sitter arrives for stay.

Preferred walking route.

Any specific routes or areas to avoid.

Behavioral considerations (e.g. leash aggression, fears, prey drive, etc).

Instructions for how to leave your dog at the end of visit.

Any other important information we need to know (medical conditions, past injuries, phobias, likes and dislikes, restricted areas in house, crating instructions, history of escaping or trying to escape, etc.)?

Next

About Your Home (Optional)

If there is a home security system to arm/disarm:

1. Where is the security system located?

2. Alarm code & any additional keys to enter before or after entering the code.

3. How long does the walker have before or after the alarm is triggered?

Where do you want your dog sitter to park when they come to for their stay?

Where does/do your dog(s) sleep at night & what is their before bed routine?

Sleeping arrangements for sitter?

Are there any parts of the house that are off limits for the dog(s)? The sitter?

How long can the dog(s) be left with no one in attendance?

Cleaning Supplies.

Household Services Providers & Schedules *

• Cleaners
• Lawn Maintenance
• Dog Walker
• Contractors
• None
• Other

Cleaners

Day & Time

Lawn Maintenance

Day & Time

Dog Walker

Day & Time

Contractors

Day & Time

Other

Day & Time

Does/Do The Dog(s) Need To Be Put Away During These Services?

Day & Time

Next

Additional Services

• Open/close curtains
• Take out trash/recycling
• Bring in mail/packages
• Water plants
• Other

Curtain Locations.

Trash & Recycling Days.

Mailbox location/mailbox key location.

Plant Locations & Instructions.

Other (Please Specify).

Next

Terms & Agreement *

• I agree & accept the terms.

I hereby certify that all of the information provided by me in this application (or any other accompanying or required documents) is correct, accurate, and complete to the best of my knowledge. I understand that the falsification, misrepresentation, or omission of any facts in this document is cause for denial of services or immediate termination of current services, regardless of the timing or circumstances of discovery. In the event that service is terminated, payment will still be owed in full. I understand that the submission of this application does not guarantee services.

Electronic Signature *

Today's Date *

Submit