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Dog Walking Client Form
Owner Information
Full Name
*
Phone Number
*
Email Address
*
Home Address
*
Emergency Contact
Full Name
*
Phone Number
*
Email Address
*
Dog Information
Name
*
Breed
*
Age
*
Approximate Weight (lbs)
*
Gender
*
A
Male
B
Female
Spayed/Neutered?
*
A
Yes
B
Not Sure
C
No
Behavior & Temperament
How does your dog behave on walks?
*
How friendly is your dog with other dogs?
*
1
2
3
4
5
Unfriendly
Very Friendly
How friendly is your dog with strangers?
*
1
2
3
4
5
Unfriendly
Very Friendly
Please list any fears or triggers
*
Health & Safety
Does your dog have any medical conditions?
*
Is your dog currently on any medication?
*
Does your dog have allergies?
*
Veterinarian Name and Clinic
*
Veterinarian Phone Number
*
Equipment
Where can I find the leash/harness?
*
Does your dog wear a leash, harness, or both?
*
A
Leash Only
B
Harness Only
C
Both Leash and Harness
Are treats allowed on walks?
*
A
Yes (Walker's Treats)
B
Yes (Owner's Treats)
C
No
Home Access
How will I enter your home?
*
A
Owner Present
B
Key
C
Lockbox
D
Door Code
E
Other
Lockbox/Door Code (if necessary)
Any instructions for entering or leaving the home?
Additional Notes
Anything else I should know about your dog?
Photo updates after walks?
*
A
Yes
B
No
Agreement
By submitting this form, I confirm that the information provided above is accurate and my dog is safe to walk.
Submit