Pet Care Form
Leiden Home & Hound · +31 (0)6 11 64 00 41 · leidenhomeandhound@gmail.com
Owner & emergency contacts
Your full name
Email
Phone / WhatsApp
Home address
How to reach you while you're awayHotel, travelling companion, time difference
Emergency contact (name)
Emergency contact (phone)
Emergency contact (relationship)
Who else has a key or may stop by?
Your home
Keys: how do we get in, and where should we leave them?
Alarm or entry code and instructions
Wi-Fi network
Wi-Fi password
Parking
Plants, mail and bins
Anything else about the houseQuirky locks, thermostat, lights, things we should not touch
Pet 1
Name
Species
DogCatRabbitBirdFishOther
Breed
Age
Sex
FemaleMaleUnknown
Neutered / spayed
Weightkg, roughly
Vet practice
Vet phone
Food: what, how much, when
Medications: name, dose, timeOne per line. Write 'none' if none.
Medical conditions and allergies
Behaviour and personalityWith people, with other animals, fears, habits
Walks, play and toilet routine
Favourite things and hiding places
Anything else
Pet 2
Name
Species
DogCatRabbitBirdFishOther
Breed
Age
Sex
FemaleMaleUnknown
Neutered / spayed
Weightkg, roughly
Vet practice
Vet phone
Food: what, how much, when
Medications: name, dose, timeOne per line. Write 'none' if none.
Medical conditions and allergies
Behaviour and personalityWith people, with other animals, fears, habits
Walks, play and toilet routine
Favourite things and hiding places
Anything else
Consents
I authorise Leiden Home & Hound to seek veterinary care for my pet in an emergency; vet costs are mine.
You may share photos of my pet on your website or social media.
I have read the pricing and policies page and agree to the booking, cancellation and key policies.
Signature
Full name
Signature
Date (dd-mm-yyyy)
Have it ready at the meet & greet.