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pet sitter authorization

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Pet Sitter Authorization

Please fill out the form to allow our team to care for your pet when you are away.

Name *

First

Last

Email *

Pet's Name *

First

Last

Pet's Name

First

Last

Pet's Name

First

Last

I authorize Loving Family Animal Hospital to provide care for the pets listed above while I am away

Date From *

Date To *

My pet(s) will be under the supervision of: *

First

Last

Phone *

If my pet(s), as listed above, becomes ill and every effort has been made to contact me without success, I authorize the following veterinarian or veterinary practice to provide all medical/surgical treatment it deems necessary *

Fees not to exceed *

Additional notes about my pet: (please include any specific medications or food your pet is on and if they have any known allergies) *

I agree to make complete payment for services rendered for my pet(s) at Loving Family Animal Hospital. If I chose to keep my credit card on file I authorize Loving Family to run my card for the services rendered.

Signature *

Date *

pet sitter authorization

Pet Sitter Authorization

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