RunMuts.co.uk 07308 222 591 Enrolment Form

RunMuts.co.uk 07308 222 591 Enrolment Form

Wellness on Wheels: Professional Fitness at Your Door
Client Information:
Client's Full Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityCounty

Postal Code
Phone Number
Please enter a valid phone number.Format: 00000 - 000 000.
Email
example@example.com
Dog Information:
Dog's No.1 Name
Breed No.1
Age No.1
Acknowledgement of Risk & Limitations I acknowledge that RunMuts provides animal first aid as an emergency bridge to veterinary care. I understand that: CPR success rates in animals are statistically low. The procedure is physically taxing and may result in secondary injuries (e.g., fractured ribs).Staff are trained first aiders, not licensed veterinarians.
Dog's No.2 Name
Breed No.2
Age No.2
Acknowledgement of Risk & Limitations I acknowledge that RunMuts provides animal first aid as an emergency bridge to veterinary care. I understand that: CPR success rates in animals are statistically low. The procedure is physically taxing and may result in secondary injuries (e.g., fractured ribs).Staff are trained first aiders, not licensed veterinarians.
Medical Conditions or Special Instructions Please list as No.1 and No.2 canine
Has your canine No.1 companion had all there normal vaccinations?
Kennel Cough Vaccination
Which vaccinations has your canine No.1 companion had?
Add second canine
Kennel Cough Vaccination
Has your canine No.2 companion had all there normal vaccinations?
Vet Address

Street Address

Street Address Line 2

CityCounty

Postal Code
Phone Number
Please enter a valid phone number.Format: 00000 - 000 000.
Has your dog ever been involved in a scuffle with another dog that resulted in injury to either animal or human?
If so, please provide additional information.
Is your dog possessive when it comes to toys or food?
If so, please elaborate on this behavior.
Are there any medical conditions or health concerns related to your dog that we should be aware of?
Has your dog received any training in obedience?
If so, could you specify the type of classes and the location where they took place?
Emergency Contact:
Name

First NameLast Name
Phone Number
Please enter a valid phone number.Format: 00000 - 000 000.
Dog Walking Schedule:
Please note* WE only ever have YOUR canines in the van, we do not mix with other owners at the same time, we can run up to two canines at the same time, second charge applies at reduced rate. Days of the Week we are in your area, please only book online for your noted area day of availability. Payment will be taken automatically for the chosen day, incorrect choice will result in delay for refund beyond our control.
The Legal Bit:

We are sorry to ask you sign or tick box agree with these items listed under, however they are very important that you understand we take your pets safety and wellbeing seriously.
Video & Photography
Pre Enrolment run
Post Run canine safety
Client's Signature
Date Signed

MonthDayYear
Date
Should be Empty:

RunMuts.co.uk 07308 222 591 Enrolment Form

Client Information:

Dog Information:

Emergency Contact:

Dog Walking Schedule:

The Legal Bit: