Dog Walking Consent Form

Premium ADVENTURE Walks Dog Walking Consent Form

Please note, filling in this form online is optional as these questions can be discussed and recorded by Deb at the time of your meeting if required.

Client's name:

Client’s address (including postcode):

Client's Email:

Telephone number 1:

Telephone number 2:

Emergency contact 1:

Status to client:

Emergency contact 2:

Status to client:

Dogs name:

Age / D.O.B.

Sex:

Neutered / spayed?

Fully vaccinated (with evidence provided)?

Boosters up to date?

Collar with tag?

Microchipped (Compulsory from April 6th 2016)?

Please confirm if you agree to your dog being exercised off their lead:

Any special needs i.e. - is there anything your pet fears or reacts to?

Dog temperament

Are there any behaviour issues? If so, please list:

Please put detail here if your dog has ever bitten or maliciously attacked another animal:

If applicable, how will your dog(s) react to other dogs on a group walk?

Does your dog have any allergies?

Snacks, details:

Medication details:

Current walk / play schedule

What level of activity is your pet used to?

Do you have a system for cleaning muddy paws upon returning home?

Would you like to receive a video via email of your pet on their dog walk?

Key / home security

Do you want me to have a key?

Where do I locate or leave the key or any other lock up instructions?

Does your home have an alarm system that I will need to navigate?

Veterinary information

Your regular veterinarian:

Their phone number:

Address including postcode:

Medical condition / medical history:

Does your pet have insurance with your regular vet?

Veterinary treatment authorisation

You give permission for veterinary treatment in an emergency situation. You are aware that this may not be your regular veterinary if they are not available or close by at the time?

Your name:

Date:

Please confirm:

By ticking this box, I agree to give permission

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