Pet care form

Cci&Vous — Johanna Babault · Dogs, cats & small pets
Veigy-Foncenex (74140), Haute-Savoie · +33 6 07 83 41 54 · ccietvous@gmail.com

Complete this form on screen and then print it (or save it as a PDF), or print a blank copy and fill it in by hand. Please give it to Johanna on the first day of care: it brings together everything she needs to know to look after your pet with confidence.

1 Pet owner

Full name Phone

Email Alternative phone

Full address

2 The pet

Pet’s name Species (dog / cat / small pet)

Breed Age or date of birth Weight

Sex Spayed / neutered Microchip or tattoo number

Colour & distinguishing features

3 Health & vet

Usual vet Practice phone number Pet insurance

Veterinary practice address

Vaccinations up to date Health record / passport provided Parasite treatment (fleas, ticks) up to date Worming treatment up to date

Known allergies

Current treatment or medication (name, dose, frequency)

Relevant medical history or health requirements

4 Feeding

Brand / type of food Amount per meal

Number of meals per day Meal times

Permitted treats Foods that must not be given

5 Routines & behaviour

My pet is…

House-trained Sociable with dogs Sociable with cats Comfortable around children Can be left alone Comfortable in the car

Walks (frequency, duration) Known commands / cues

Fears, stress triggers and reactions to watch for

Routines & rituals (sleeping, play, likes and dislikes)

6 Dates & care arrangement

Start date End date Drop-off / collection times

Care option

At the owner’s home Boarding with Johanna Home visits Half-day Full day Including overnight stay

Care location (if different from the owner’s address)

7 Emergency contacts

Person 1 — name Relationship (family, friend, etc.) Phone

Person 2 — name Relationship (family, friend, etc.) Phone

8 Consent & instructions

Special instructions / additional information

The owner

Signed at on

Johanna Babault — Cci&Vous

Read and approved; pet care authorised

This document is provided for guidance by Cci&Vous. The final pet-care arrangements (dates, price and care option) are confirmed directly with Johanna. The information collected is used only to organise your pet’s care and is neither transferred nor sold — see the legal notice.