Dog Intake & Admission
INTAKE : WAIVER OF LIABILITY
One Dog Sitter
Client Name: _________________________________
Address: ___________________________________
City, State, ZIP: ____________________________
Phone: ____________________________________
Email: ____________________________________
Pet Name: __________________________________
Breed: ____________________________________
Age: ______________________________________
Weight: ___________________________________
Emergency Contact Name: ______________________
Emergency Contact Phone: _____________________
Veterinarian Name: ___________________________
Veterinary Clinic: ____________________________
Veterinary Phone: ____________________________
I, the undersigned pet owner ("Owner"), hereby acknowledge and agree to the following terms and conditions for in-home dog boarding services provided by One Dog Sitter ("Service Provider"):
I understand that boarding my pet involves inherent risks, including but not limited to injury, illness, escape, death, or behavioral changes. I voluntarily assume all risks associated with the boarding of my pet.
I hereby release, waive, discharge, and hold harmless the Service Provider, its owners, employees, and agents from any and all liability, claims, demands, actions, or causes of action arising out of or related to any loss, damage, or injury that may be sustained by my pet or myself during the boarding period, except in cases of gross negligence or intentional misconduct.
I authorize the Service Provider to seek emergency veterinary care for my pet if deemed necessary. I agree to be responsible for all veterinary costs incurred. If I cannot be reached, the Service Provider may use their discretion in seeking appropriate veterinary care.
I certify that my pet is in good health, current on all vaccinations, and has no history of aggressive behavior toward humans or other animals. I agree to provide accurate information about my pet's medical history, dietary needs, and behavioral characteristics.
The Service Provider is not responsible for any damage to or loss of personal property brought with the pet, including but not limited to toys, bedding, leashes, or food containers.
I agree to indemnify and hold harmless the Service Provider from any claims, damages, or expenses arising from my pet's actions or behavior during the boarding period.
I hereby authorize the Service Provider to act as my agent in seeking emergency veterinary treatment for my pet. I understand that I will be responsible for all costs associated with such treatment.
Spending Limit for Emergency Care: $__________
Special Medical Instructions:
I have read and understand this waiver and release of liability. I am voluntarily signing this agreement and understand that it affects my legal rights. I acknowledge that no oral representations, statements, or inducements apart from this written agreement have been made.
Owner Signature: ___________________________
Date: ___________________________________
Service Provider Signature: __________________
Date: ___________________________________
This waiver shall remain in effect for all future boarding services unless revoked in writing.
Effective Date: November 28, 2025 Document Version: 1.3
$0.00
● Comprehensive in-home assessment and consultation
● Meet and greet with the designated pet sitter
● Property and pet evaluation
● Service customization discussion
● No advance payment or key deposit required
Base Rate: $18.75 per visit
● Standard visit duration: 25-30 minutes
● Services include: feeding, watering, exercise, and companionship
● Each additional pet: $2.25
● Visit extension (15-minute increments): $7.50
● Medication administration: $3.00
● Insulin injections or inhaler administration: $7.50
● Sub-Q fluid administration: $18.75
● Short notice booking surcharge (within 24 hours): $15.00
● Cancellation fee: $18.75
● Every-other-day visit surcharge: $3.75
● Holiday service surcharge: $15.00
Discounted Rate: $17.25 per walk
● Minimum commitment: 5 walks per week
● Standard rate for fewer than 5 walks: $18.75
● Each additional dog: $2.25
● Visit extension (15-minute increments): $7.50
● Medication administration: $3.00
● Holiday service surcharge: $15.00
Base Rate: Under 7 days $45.00 per night, $35 for 7 nights or more
● Service period: 6:00 PM to 9:00 AM
● Each additional pet: $15.00
● Discounted daytime visits during stay: $17.25 (25-30 minutes)
● Additional pet for daytime visits: $2.25
● Visit extension (15-minute increments): $7.50
● Medication administration: $3.00
● Insulin injections or inhaler administration: $7.50
● Sub-Q fluid administration: $18.75
● Short notice booking surcharge (within 24 hours): $15.00
● Short notice cancellation fee (within 24 hours): $37.50
● Holiday service surcharge: $15.00 ($0.00 for our regular clients who have three or more completed visits; we don’t surcharge for holidays)