Sign Up – The Ruff Break

Sign Up Process

Step 1: Please ensure you have read through our Frequently Asked Questions

Step 2: Complete this application.

Step 3: Once submitted we will contact you to schedule an initial visit at your home.

Step 4: After the visit you will receive a welcome email with details on how to login and request Breaks.

Contact Information

Primary Contact

* First Name

* Last Name

* Mobile Number

* Home Number

* Email

* Street Address

* City

* State

* Zip

Spouse or Secondary Contact

First Name

Last Name

Phone Number

Emergency Contact

* First Name

* Last Name

* Phone Number

* Relation

* Would you like to receive a text message when we arrive for Ruff / Fast Breaks?

Yes

Home Access

Check all that apply to access your pet(s)

Key To Front Door

Front Door Keypad

Key To Other

Garage Keypad

Owner Always Home

Hidden Key

Hotel Room/Suite

House Alarm

Lock Box

Schedule

Ruff Break Schedule

I will primarily schedule Ruff / Fast Breaks as needed

I will primarily need pet sitting

I need Ruff / Fast Breaks on the same day(s) each week

My preferred schedule: Applicable only if Ruff / Fast Break days will not change or change very infrequently

Day Of The Week	Break Type	Time
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday

General Information

Veterinary Information

* Hospital / Clinic Name

* Address

* City

* State

* Zip

* Phone Number

General Information For All Pets

Where do you keep your pet food?

Where do you keep your pet treats?

Where do you keep leashes and/or collars?

Where do you keep general cleaning supplies?

Pet Sitting Options

Bring in mail?

Yes

Turn on a light at night?

Yes

General Instructions Only
'Turn radio on at night and off in the morning' 'Please bring in delivered packages.'

Pet Information

Pet 1

* Name

* Breed

* Birth Year

* Color/Unique Markings

* Location In Home

Is this pet a cat?

Yes

I currently exercise this pet by:	I would like Ruff Break to try:
Walking Walking with a dog backpack Jogging Playing fetch in yard Biking Roller Blading Weight pulling No Exercise/Physical Limitations	Walking Walking with a dog backpack Jogging Playing fetch in yard Biking Roller Blading Weight pulling

Important Medical History

Feeding/Supplements

Overnight Care Instructions

Fears, Anxieties, Aggression

Any Other Instructions

Pet 2

* Name

* Breed

* Birth Year

* Color/Unique Markings

* Location In Home

Is this pet a cat?

Yes

I currently exercise this pet by:	I would like Ruff Break to try:
Walking Walking with a dog backpack Jogging Playing fetch in yard Biking Roller Blading Weight pulling No Exercise/Physical Limitations	Walking Walking with a dog backpack Jogging Playing fetch in yard Biking Roller Blading Weight pulling

Important Medical History

Feeding/Supplements

Overnight Care Instructions

Fears, Anxieties, Aggression

Any Other Instructions

Pet 3

* Name

* Breed

* Birth Year

* Color/Unique Markings

* Location In Home

Is this pet a cat?

Yes

I currently exercise this pet by:	I would like Ruff Break to try:
Walking Walking with a dog backpack Jogging Playing fetch in yard Biking Roller Blading Weight pulling No Exercise/Physical Limitations	Walking Walking with a dog backpack Jogging Playing fetch in yard Biking Roller Blading Weight pulling

Important Medical History

Feeding/Supplements

Overnight Care Instructions

Fears, Anxieties, Aggression

Any Other Instructions

Pet 4

* Name

* Breed

* Birth Year

* Color/Unique Markings

* Location In Home

Is this pet a cat?

Yes

I currently exercise this pet by:	I would like Ruff Break to try:
Walking Walking with a dog backpack Jogging Playing fetch in yard Biking Roller Blading Weight pulling No Exercise/Physical Limitations	Walking Walking with a dog backpack Jogging Playing fetch in yard Biking Roller Blading Weight pulling

Important Medical History

Feeding/Supplements

Overnight Care Instructions

Fears, Anxieties, Aggression

Any Other Instructions

Pet 5

* Name

* Breed

* Birth Year

* Color/Unique Markings

* Location In Home

Is this pet a cat?

Yes

I currently exercise this pet by:	I would like Ruff Break to try:
Walking Walking with a dog backpack Jogging Playing fetch in yard Biking Roller Blading Weight pulling No Exercise/Physical Limitations	Walking Walking with a dog backpack Jogging Playing fetch in yard Biking Roller Blading Weight pulling

Important Medical History

Feeding/Supplements

Overnight Care Instructions

Fears, Anxieties, Aggression

Any Other Instructions

Sign Up Process

Contact Information

Primary Contact

Spouse or Secondary Contact

Emergency Contact

Home Access

Schedule

Ruff Break Schedule

General Information

Veterinary Information

General Information For All Pets

Pet Sitting Options

Pet Information

Pet 1

Pet 2

Pet 3

Pet 4

Pet 5

About us

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