Dog Owner & Care Details Form

Dog Owner & Care Details Form

Share your contact, your dog’s details, temperament, walking habits, care needs, and home access arrangements.
Owner's Full Name

First NameLast Name
Owner's Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Owner's Email Address
example@example.com
Owner's Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Vet Details
Vet's Name

First NameLast Name
Vet's Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Vet's Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Emergency Contact (Name and Phone Number)
Dog's Name
Dog's Age or Date of Birth

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Dog's Breed
Dog's Sex
Is your dog neutered or spayed?
Approximate Weight or Size
How would you describe your dog's temperament?
How is your dog with unfamiliar people?
How is your dog with other dogs?
Does your dog have any nervousness, anxiety, or reactivity?
Are there any known triggers for your dog?
Any history of aggression, biting, or escaping?
Does your dog pull on the lead?
Is your dog allowed off lead?
Feeding requirements - only applicable if your enquiry relates to check ins and dog sitting.
Medication
Allergies
Toilet routine - only applicable if your enquiry relates to check ins and dog sitting.
Anything else we should know about your dog's care?
Will you provide a key for home access?
Will there be a key safe available?
Will someone be home during collection/return?
Is there anything else you'd like us to know about your dog?
I understand and accept the terms and conditions of Zoomies & Wag.
Signature
Should be Empty:

Dog Owner & Care Details Form

Vet Details