Pat-A-Cat Info Sheet

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/pager_______________________________________________

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___________________________________________________

Client Name_________________	Cat's Name______________________
Address___________________________________	Age_____ Breed___________________
Phone (res)_________________	Sex: Male Female (circle one)
(bus)_________________	Neutered/Spayed
Cell phone/pager_______________________________________________
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___________________________________________________