Dog Walking Information Form
Please read this form and the accompanying Terms and Conditions / Pet Care Contract carefully (this level of detail is required to ensure we can provide the highest level of care and safety for your dog). Then complete and sign this form (including acceptance of the Terms and Conditions, Off the Lead Consent Form and Waiver of Liability).
Main Contact
Name
First Name
Last Name
Dog Information
Dog Name
*
Dog Age
Years
Date Of Birth
-
Month
-
Day
Year
Date
Breed
*
Sex
*
Male
Female
Colour
*
Is Your Dog Microchipped ?
*
Yes
No
Chip Number
Current Vet Details
*
Dog History (if not from birth)
*
Is your Dog Insured?
*
Yes
No
Is Your Dog Neutered
*
Yes
No
Last Season (if Applicable)
Do you currently use another Dog Walker
*
Yes
No
If so who Do you use and why are you looking to change?
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Health Details
Is Your Dog Vaccinated for Kennel Cough
Yes
No
Date of Vaccination
-
Month
-
Day
Year
Date
Does Your Dog have Any Allergies (please List)
Pre Existing or Current Health Conditions
List any Medications and details including frequency
List any sensitive arears of your dog's body
Please describe any restrictions on your dog's activity (eg due to physical limitations)
Is you dog allowed treats or does it have any dietary requirements
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Social Skills & Behaviour
Please give a brief description of any formal obedience training your dog has received.
How does your dog react to other people and dogs when on a walk?
Please describe general behaviour and energy levels (both inside and when out)
Please provide details if your dog is anxious around, or frightened by, anything we should be aware of.
Does Your dog get travel sick?
Yes
No
Is there a specific command to "go to the bathroom" ?
Does your dog behave differently on and off lead? If so how.
How does your dog react with other dogs off lead?
How does your dog react around Children?
How does your dog react around livestock?
How does your dog react loud noises and farm machinery?
Has your dog growled or snarled at someone (if so, please describe the circumstances)?
Has your dog ever bitten someone (if so, please describe the circumstances)?
Has your dog ever bitten another dog, other than play-biting (if so, please describe the circumstances)?
Does your dog allow you to take things out of his/her mouth?
Will you Dog Chase any of the following? (please tick)
Cats
Deer
Livestock
Small Animals
Do You Walk your dog off lead ? (please tick)
Always
Occasionally
Never
How is you dog's recall ?
Very Good
Average
Poor
Hopeless
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Disclaimers & Consents
Disclaimer & Waiver of Liability
The information I have given in this application is true, correct and complete to the best of my knowledge. I have read and agree to abide by the Terms and Conditions for services received from Whoswalkingme.co.uk / Whosboardingme.co.uk . I hereby indemnify whoswalkingme.co.uk & Whosboardingme.co.uk and their staff against liability of any kind whatsoever arising from my dog’s participation in any services offered by whoswalkingme.co.uk and whosboardingme.co.uk
Signature
*
Date
-
Month
-
Day
Year
Date
Off Lead Consent
I agree / Disagree (tick as appropriate) to whoswalkingme.co.uk & whosboardingme.co.uk having the right to allow my dog off the lead and understand that all terms and conditions remain the same. I have read and agree to abide by the Terms and Conditions for services received from whoaswalkingme.co.uk. I hereby indemnify whoswalkingme.co.uk, whosboardingme.co.uk and their staff against liability of any kind whatsoever arising from my dog’s participation in any services offered by whoswalkingme.co.uk & whosboardingme.co.uk.
I here by Agree or Disagree to off lead consent.
*
Agree
Disagree
Signature
*
Date
-
Month
-
Day
Year
Date
Submit
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