Name: *
Business Name:
Website:
Email: *
Street Address: *
City: *
Province: *
Postal Code: *
Business Address (if different from mailing address):
Do you rent or lease your premises? *
YesNo

Home Phone Number: *
Number of Employees (excluding yourself):
Cell Number:
Number of years in business?: *
Is pet sitting and/or dog walking your primary activity of your operation?: * YesNo
Annual Revenue (if new business provide estimate) $: *
List types of animals in your care: *
Max Number of pets in your care at one time: *
Do you abide by all by-laws when visiting dog parks and trails?: * YesNo
Please confirm you have a control protocol in place for your client’s keys: * YesNo

Indicate whether you provide any of the services listed below:

Basic Obedience Training?: * YesNo

Where are Basic Obedience Training sessions held?:

Agility and/or Sport Training?: * YesNo

Basic Obedience Training Revenue $:

Agility and/or Sport Training Revenue $:

Behavioural Training?: * YesNo
Behavioural Training Revenue $:
Grooming?: * YesNo
Grooming Revenue $:
Pet Massage?: * YesNo
Pet Massage Revenue $:
Dog Daycare?: * YesNo
Specify location of Dog Daycare:
Dog Daycare Revenue $:
Pet Boarding?: * YesNo
How many pets are boarded at one time?:
Pet Boarding Revenue $:
Retail?: * YesNo
Do you manufacture anything you sell?: * YesNo
Retail Revenue $:
List Items you sell:
Pet Taxi?: * YesNo
Pet Taxi Revenue $:
House sitting? (Written instructions must be received): * YesNo
House sitting Revenue $:
During house sitting is there a pet present?: * YesNo
Any other operation?: * YesNo
Please describe any other operations:
Other operation revenue $:
Do you make sure all your pets are current in their vaccinations?: * YesNo
Do you administer any medications? (Written instructions must be received): * YesNo
Do you administer holistic care?: * YesNo
Have you ever been refused insurance?: * YesNo
Have you had any claims in the last 5 years?: * YesNo

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