Pet Care Agreement
Pet Owner (Owner)
Name: ___________________________________________
Home Address: __________________________________________
_____________________________________________________
Home phone: ____________________	Work phone: ____________________
Cell phone or pager: ____________________	Email: ____________________
Temporary address while pet is in Caregiver’s care: 
________________________
________________________
Phone: ____________________
Cell phone or pager: ____________________	Email: ____________________
[if more than one temporary address, attach itinerary]
Caregiver
Name: ___________________________________________
Address: ______________________________________________________
_____________________________________________________
Home phone: ____________________	Work phone: ____________________
Cell phone or pager: ____________________	Email: ____________________
1.	Pet(s)
Caregiver will take care of: _____________________________________________________
[list name, species, breed, age, and, if necessary, any distinguishing characteristics]
2.	Dates of Care
Caregiver will care for the animal(s) from ______________ [beginning date]
[   ] until _______________ [ending date] 
[   ] until Owner notifies Caregiver otherwise.
3.	Reimbursement and Compensation
Owner will reimburse Caregiver for reasonable out-of-pocket expenses, including veterinary bills incurred while caring for the animal(s). Owner will also compensate Caregiver as follows [select none, one or both]:
[   ]  payment of $_________
[   ]  other: _______________
4.	Care Instructions
Caregiver will exercise reasonable care to protect the animal(s) from sickness, injury, and theft, and will follow these instructions:
Food
Type of food: _______________
Amount: _______________
Frequency: _______________
Special instructions: ___________________________________________
Medication
1. Name: ____________________
Dosage: _______________
Special instructions: ___________________________________________
2. Name: ____________________
Dosage: _______________
Special instructions: ___________________________________________
Exercise
Frequency and type: _______________
Special instructions: ___________________________________________
Grooming
Frequency and type: ________________________________________
Special instructions: ________________________________________
Veterinary Care
Name: _________________________________
Address: _______________________________
______________________________________
Phone: _______________
Veterinary insurance company and policy #: _______________
Special instructions: _______________
5.	Emergency Contact
If Caregiver becomes unable to care for the pet(s), Caregiver will contact ______________ [name] at ____________ [phone number] to try to make substitute arrangements for their care and will promptly notify owner.
If arrangements cannot be made, Caregiver will turn the pet(s) over to ______________ [name] at ____________ [phone number] and promptly notify Owner.
6.	Disputes
If any dispute arises under this agreement, the parties agree to select a mutually agreeable third party to help them mediate it, and to share equally any costs of mediation.
7.	Additional Terms
__________________________________________________________________________
8.	Entire Agreement
This agreement contains the entire agreement between Owner and Caregiver. Any modifications must be in writing.
Signatures
Pet Owner’s name: __________________________
Signature: ______________________________________________
Date: _______________

Caregiver’s name: ___________________________
Signature: _____________________________________________
Date: _______________