PAT-A-CAT INFORMATION SHEET

Today’s Date: _____________

Client Name_________________ Cat’s Name______________________
Address___________________________________ Age_____ Breed___________________
Phone (res)_________________ Sex: Male Female (circle one)
            (bus)_________________         Neutered/Spayed
Cell phone_______________________________________________
E Mail________________________________________________________
Colour & Markings of Cat:________________________________________________________
Cat’s Characteristics: Please state yes or no beside each statement:
Comes when called ______ Good with other cats _______
Plays with toys _____ Likes to be brushed _______
Likes most people ______ May be given treats/catnip _______
Likes to be picked up ______ Scared in thunderstorms ______
Has front and back claws ______ Will scratch if prompted ______
Cat’s background (ie. Acquired as kitten/from Humane Society, etc.):__________________ ______________________________________________________________________________
Feeding Instructions:____________________________________________________________
Veterinarian: Name of Clinic:_____________________________________________________
Phone:_______________________
Friend or neighbour that may be contacted in client’s absence or emergency:
Name:___________________________________________________________
Address:_________________________________________________________
Phone:___________________________________________________________
Any additional comments or special requirements: ______________________________________________________________________________
Signing below acknowledges that Jog-A-Dog/Pat-A-Cat personnel may enter your home for the purpose of picking up/returning your pet and to transport your pet by car. Jog-A-Dog/Pat-A-Cat and its personnel shall assume no liability for any illness or injury caused to your pet or to other persons, pets or property. If your pet becomes injured or ill, Jog-A-Dog/Pat-A-Cat is hereby authorized to take your pet to the nearest animal care facility and such expense shall be paid by the owner of the pet.
Signature___________________________________________________If you’re unable to print out this page or would like to be emailed the form please email  me at: jogadog.ca@gmail.com