Dog Walking Client Information Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form. – Step 1 of 4Thank you for choosing Wanderlust & Wags. This form collects the information I need to care for your dog safely during their walks. You only need to complete it once, unless your details or your dog’s circumstances change. Your Details Full Name *Full Address including Postcode *Address Line 1Address Line 2CityState / Province / RegionPhone *Email *Emergency Contact Emergency Contact Name *Relationship to You *Contact Number *Alternative Contact NumberBest number to contact you in an emergency *Preferred method of contact *— Select Choice —PhoneWhatsAppTextEmail key dog Does Continue Your Dogs How many dogs would you like me to walk?12Dog's Name *Dog's NameWhat do you call your dog?e.g. Official name: Bella – Called: BellWhat do you call your dog?e.g. Official name: Bella – Called: BellBreed or Crossbreed *Breed or Crossbreed Age *— Select Choice —Under 1 year1–3 years4–7 years8–10 years11 years or overAge — Select Choice —Under 1 year1–3 years4–7 years8–10 years11 years or overSex *— Select Choice —MaleMaleSex — Select Choice —MaleMaleIs your dog neutered or spayed?* *YesNoIs your dog neutered or spayed?YesNoMicrochip Number *Microchip NumberContinue Your Dogs' Health Is your dog fully vaccinated and up to date with their vaccinations? *YesNoIs your dog fully vaccinated and up to date with their vaccinations?YesNoDate of your dog's last vaccination *Date of your dog's last vaccination Does your dog have any medical conditions? *YesNoDoes your dog have any medical conditions? YesNoIf yes, please tell me about them.If yes, please tell me about them. Does your dog need any medication or have any specific medical needs?YesNoDoes your dog need any medication or have any specific medical needs? YesNoIf yes, please provide details.If yes, please provide details. Does your dog have any allergies? *YesNoDoes your dog have any allergies? YesNoIf yes, please provide details.If yes, please provide details. Your Veterinary Practice Name of Veterinary Practice *Address of Veterinary Practice *Practice Telephone Number *Does your vet have an emergency out-of-hours service? *YesNoUnsureEmergency Practice NameEmergency Practice Telephone Number Walking Information How does your dog usually behave when out on a walk? *Please tell me anything that will make your dog’s walk more enjoyableHow does your dog usually behave when out on a walk? Please tell me anything that will make your dog’s walk more enjoyableDoes your dog have reliable recall? *YesNoDoes your dog have reliable recall?YesNoIs your dog reactive to people, dogs, traffic or anything else? *YesNoIs your dog reactive to people, dogs, traffic or anything else?YesNoIf yes, please tell me moreIf yes, please tell me more Has your dog ever shown aggression towards people or other dogs? *YesNoHas your dog ever shown aggression towards people or other dogs? YesNoIf yes, please tell me more If yes, please tell me more Are there any situations, animals, sounds or environments your dog is particularly nervous about or dislikes? *Are there any situations, animals, sounds or environments your dog is particularly nervous about or dislikes?What words or commands does your dog respond to?What words or commands does your dog respond to?Is there anything else I should know to help me walk your dog safely?Is there anything else I should know to help me walk your dog safely? Your Dog's Equipment *CollarHarnessLeadLong lineOtherYour Dog's EquipmentCollarHarnessLeadLong lineOtherContinueCollecting & Returning Your Dog(s) *Please include any useful information about where your dog will be waiting when I arrive.How will I access the property? *— Select Choice —Someone will be homeKeyKey safeOtherIf using a key safe, please provide any instructions I needPlease describe the key safe’s location and any practical instructions, but do not enter the code here. Contact Andrea directly to arrange how to provide access codes.Anything specific I need to know about your dog's walking equipment?Emergency Arrangements If your dog becomes ill or is injured while in my care, I have your permission to seek veterinary treatment if necessary *YesNoIf I cannot contact you in an emergency, should I contact your emergency contact? *YesNoIs there anything else you would like me to know about your dog or their care?Confirmation Please read the statements below before submitting your Dog Walking Client Information Form. By submitting this form, you confirm that the information you have provided is accurate to the best of your knowledge. Please let Wanderlust & Wags know if any important information changes. Confirmation Statement *I confirm that the information I’ve provided is true and accurate to the best of my knowledge.Changes *I agree to let Wanderlust & Wags know if any of this information changes in the future.Full Name *Signature Clear Signature Date *Submit
