Clone of Dog Astrology Reading Intake Form

Dog Astrology Reading Intake Form

Please complete this form prior to your in-person dog astrology reading.This information allows me to prepare your dog’s chart and make the most of our time together.
Name*

First NameLast Name
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
Which date would you like to attend??*

Sunday, February 1stSaturday, February 21st
Sunday, February 1st, 2026*
Saturday, February 21st, 2026*
Please feel free to email me at molly@pawsigns.com if appointments are full, or if you would like to schedule outside of the timeframe.
What is your dog's name?*
Do you know your dog's birthday?*

YesNo

Unknown Birthday Intake

To prepare your dog’s chart, an online zodiac assessment is required when a birthday is unknown.You will receive the assessment link by email shortly after submitting this form.The assessment must be completed at least 24 hours before your appointment. Please check your spam folder if needed.
When did you adopt or receive your dog?*
Estimated age at adoption*
Dog’s Breed or Mix*
Please write unknown if breed is a mystery, or write what you think their breeds are.

When is your dog's birthday?*

MonthDayYear
Date
Where was your dog born? *
Please enter city and state if known. If only state or country is known, enter that.
Dog’s Breed or Mix*
Please write unknown if breed is a mystery, or write what you think their breeds are.

Household & Background Information
How many pet's live in your household? *
What other pets live in the home?
Please include names, species, ages, and sex. If no other pet's please leave blank.
Important background or context you’d like me to know*
This can include past trauma, shelter or rehoming history, major life changes, anxiety or reactivity, sensitivities, training challenges or goals, medical considerations that affect behavior, or anything else that feels relevant.

Human Information

For compatibility. One human required for reading. Second human is optional!
Human 1*
Human 1 Date of Birth*

MonthDayYear
Date
Human 1 Birth Location*
(city, state, country)
Human 1 Time of birth*
Please note AM or PM, and make sure it is time local to your place of birth. If unknown, please write n/a.
Human 2
Human 2 Date of Birth

MonthDayYear
Date
Human 2 Birth Location
(city, state, country)
Human 2 Time of birth
Please note AM or PM, and make sure it is time local to your place of birth. If unknown, please write n/a.

Final Notes
Anything specific you’d like to focus on during your reading?*
Please confirm the following*

One dog per appointmentReadings are approximately 10 minutesThere is a 5-minute grace periodBoris & Horton’s $5 entry fee applies to non-members

Filming Acknowledgement

This event is filmed for Pawsigns Astrology social media content.
By signing below, I agree that:
- I am voluntarily participating in on-camera filming with Paw Signs Astrology.
- I understand that my dog may appear on camera and consent to their participation in filming as part of this session.
- I grant Paw Signs Astrology and its representatives the right to record, photograph, and use my likeness, voice, and my dog’s likeness in video, photo, or other media.
- I understand that this media may be used for promotional, marketing, social media, website, and related Paw Signs Astrology content, in perpetuity.
- I understand that the media may be edited for length or clarity and that I will not receive approval over the final content.
- I acknowledge that I am receiving a dog astrology birth chart and consultation in exchange for my participation.
- I release Paw Signs Astrology from any and all claims, liability, or rights to compensation, now or in the future, related to the use of this media.
Signature*

Powered by Jotform SignClear
I understand this session will be filmed and may be used for social media content.*

Yes
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Dog Astrology Reading Intake Form