• Zoomiez Mobile Dog Gym Intake Form

    Welcome! Please complete this form to help us get to know you and your dog for a fun and safe Zoomiez experience.
  • Owner Contact Details

  • Format: (000) 000-0000.
  • Dog Profile

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  • Health and Vet Info

  • Format: (000) 000-0000.
  • Behavior and Temperament

  • Is the dog treat-motivated or toy-motivated?*
  • How does the dog react to stranger's?
  • Any history of leash reactivity?
  • Any history of aggression?
  • Activity/Fitness Goals and Service Selection

  • Please describe your dog's activity level.
  • Scheduling Preferences and Location Details

  • Policies, Liability Waiver, Emergency Treatment Authorization, and Media Release

  • Liability Waiver

    1. Nature of Service Zoomiez provides physical exercise and cardiovascular conditioning for dogs via a non-motorized slatmill. I understand that Zoomiez is a fitness provider and not a licensed dog trainer or veterinary behaviorist. Sessions are designed for physical fulfillment and are not intended to treat or modify behavioral issues such as aggression, separation anxiety, or reactivity. 2. Health & Veterinary Clearance I warrant that my dog is in good physical health and has been explicitly cleared by a licensed veterinarian for high-intensity cardiovascular exercise. I have disclosed all known medical history, including but not limited to heart conditions, respiratory issues, joint dysplasia, or recent surgeries. 3. Assumption of Risk I acknowledge that high-intensity athletic activity carries inherent risks, including muscle strain, fatigue, or minor abrasions. I understand that transitioning a dog to a mobile environment involves unpredictable variables. I assume all risks associated with my dog’s participation in these sessions and agree that Zoomiez is not liable for injuries resulting from the dog’s natural physical responses or pre-existing conditions. 4. Handler Authority & Safety Zoomiez maintains “Stop-Work Authority.” If a dog shows signs of overheating, extreme stress, or physical distress, the session will be terminated immediately. No dog will be forced to exercise against its will. I understand that if my dog is too apprehensive to enter the van, the session may pivot to a “Confidence/Scent & Sight” session at the handler's discretion. 5. Handler Disclosure I acknowledge that the operator of Zoomiez is a Canine Fitness Professional and not a certified dog trainer. I understand that no behavioral training is being provided during these sessions, and Zoomiez makes no guarantees regarding the improvement of the dog’s behavior outside of physical tiredness. 6. Emergency Care In the event of a medical emergency, Zoomiez will attempt to contact the Owner and the preferred Veterinarian listed on the intake form. If neither is reachable, Zoomiez is authorized to seek emergency veterinary care at the Owner’s expense. 7. Media Release I grant Zoomiez permission to record and use photos or videos of my dog for marketing and social media purposes, unless otherwise requested in writing. 8. Indemnification I agree to indemnify and hold harmless Zoomiez and its operators from any and all claims, damages, or expenses arising from my dog’s participation, including any damage caused by my dog to the Zoomiez van or equipment.
  • I give permission for my dog to be photographed or video recorded for social media marketing.*
  • Date*
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  • Should be Empty: