MENLO BARK CLIENT PROFILE (household information is optional and will be kept confidential) CONTACT INFORMATION =================== Primary Contact Name(s) Cell Phone _______________________________________________________________________ Home Address Home Phone _______________________________________________________________________ Employer / Location Work Phone _______________________________________________________________________ Email Address _______________________________________________________________________ Please name person(s) authorized for animal pickup/dropoff and for making decisions re: pets, etc. HOUSEHOLD PROFILE ================= Gate Code / Lock Box Combination Location of Key _______________________________________________________________________ Security System Code / Phone Number / Password _______________________________________________________________________ House Cleaners Day / Time Expected _______________________________________________________________________ Gardeners Day / Time Expected _______________________________________________________________________ Garbage Day / Time Expected Recycling Day / Instructions _______________________________________________________________________ Plant Instructions Lighting Instructions _______________________________________________________________________ Mail / Newspapers Instructions Wireless Access ID & Password