Dog walking booking form

Dog Walking / Drop in Service Booking Form

Tell us as much as you can about your dog(s), so we can keep you happy and them safe with us. If you're not sure of any answers or have questions, we will be happy to go through anything during our first free meet and greet.

If you have more than 2+ dogs you wish to book or additional requests, please contact us first.

Sections marked with a * are mandatory.

We advise you provide us with as much information as possible to help us know as much about your dog(s) as necessary.

Service required *

Type of service required? *

Group dog walk Drop in service

Owner information *

Name *

First

Last

Primary telephone number *

Email *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Partner / Spouse

Name *

First

Last

Phone Number *

Email *

Address if different to owner information *

Line 1

Line 2

City

State

Zip Code

Country

Emergency Contact / Pick up *

(If urgent contact is required during the service and you are not available)

Name *

First

Last

Phone Number *

Relationship to owner *

Dog information *

Dog 1

Name *

Age *

Sex *

Male Female

Breed *

Colour *

Date of birth *

Weight (approx) *

Spayed / Neutered *

Yes No

If no, and female, date next in season: *

Microchipped or tagged *

Yes No

If yes, please provide details *

Is your dog insured? *

Yes No

Other dog from the same household

Dog 2

Name *

Age *

Sex *

Male Female

Microchipped or tagged? *

Yes No

Breed *

Date of birth *

Spayed / Neutered? *

Yes No

If yes, please provide details: *

Colour *

Weight (approx) *

If no, and female, date next in season: *

Is your dog insured? *

Yes No

Veterinarian Information *

Same vet for all dogs listed? *

Yes No

Vet Practice Name *

Phone Number *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Insurance

If your dog is insured, please provide details:

Company name: *

Email: *

Policy number: *

Website: *

Telephone: *

Dog medical and health information *

Tell us about any health conditions, allergies, medical history and any medications your dog is currently taking

Any medical conditions? *

Yes No

If yes, please give details for each dog *

Any recent / current injuries? *

Yes No

If yes, please give details for each dog *

Are they taking any medication? *

Yes No

If yes, please give details for each dog *

Do they have any allergies / food sensitivity? *

Yes No

If yes, please give details for each dog *

Dog Behaviour *

Help us get to know and understand your dog so we can help with any behaviours, fears or anxieties they may have.

Has your dog ever.... *

Growled at someone? (Dog 1) Growled at someone? (Dog 2) Bitten someone? (Dog 1) Bitten someone? (Dog 2) Have frequent mishaps? (Dog 1) Have frequent mishaps? (Dog 2) React negatively to other animals? (Dog 1) React negatively to other animals? (Dog 2)

If yes, please give details for each dog or any other information you think is helpful *

Is there anything that makes your dog anxious, reactive or fearful? (e.g. loud bangs, cyclists etc) *

Provide any further information you think would be useful *

Socialisation and Training (required for dog walking service only)

Does your dog react to anything that could cause any problems? i.e. reactive to cars, bicycles etc - please provide any details for each dog *

Does your dog share toys with other dogs? *

Yes No

Is your dog child friendly? *

Yes (Dog 1) No (Dog 1) Yes (Dog 2) No (Dog 2)

Has your dog attended any formal training? *

Yes No

If yes, please provide details for each dog *

Permission to walk dog off lead (required for dog walking service only)

If you approve New Dawn - Cornwall to let your dog(s) off lead, you will need to sign the Off Lead Dog Consent form.
This is required to be covered by our insurance should your dog suffer an injury where we are negligent.

I approve for my dog to be let off lead and will sign the off lead consent form *

Yes No

Accessing your home if you're not in

Keys
Some customers ask us to hold keys for their property and if you do, we will ask you to complete our Key Release form. When keys are not in use, they are locked away securely without any distinguishing labels. Keys will be returned to customer immediately upon request.
We are fully insured for loss of keys.

I agree to release a set of house keys to New Dawn - Cornwall to be used strictly for entry for walking or providing a drop in service for my dog(s) *

Yes No

If no, instructions for entry to collect dog/s *

Meet & Greet Assessment *

Before we agree to providing a service for your dog(s), we do require that we meet your dog(s) first *

Agree

Liability

I (the owner) confirm to New Dawn - Cornwall that I am the legal owner of my dog; that my dog has not been ill with any contagious disease or condition within the past thirty days.

I understand that New Dawn - Cornwall is a dog walking, boarding and day care facility. I agree that for certain services, my dog will socialise with other dogs and I accept the risks involved and agree that New Dawn - Cornwall are not liable for any injuries resulting during my dog’s attendance.

I understand that if my dog has a history of aggression or biting, New Dawn - Cornwall reserve the right to refuse entry to my dog and I have disclosed to New Dawn - Cornwall any known dangers associated with my dog. Any behaviour deemed dangerous or inappropriate by New Dawn - Cornwall may result in the instant dismissal of my dog(s).

I must disclose any medical conditions that may affect my animal’s health. If any medical problems develop while my dog is in the care of New Dawn - Cornwall and I cannot be contacted, I authorise them to do whatever they deem necessary for the safety, health and wellbeing of my dog and I agree to assume full financial responsibility for all expenses incurred.

I am aware that all dogs by law must be micro-chipped and I have been recommended to supply New Dawn - Cornwall with this information in case of emergency.

Under the Control of Dogs Order 1992, I am aware that all dogs must wear a collar and an identity tag in a public place, with the tag detailing the name and address of the owner.

I have read and understood New Dawn - Cornwall Service Agreement Terms and Conditions

Payment / Requirements

I understand that:

Payment for services is required prior to the service commencing or as agreed with New Dawn - Cornwall.
I understand that I must give at least 12 hours’ notice of cancellation and that I will be charged 100% for ‘no shows’.
I understand that the hours of operation in which I can contact New Dawn - Cornwall are daily between 9:00am - 5:00pm.
Payment Details - Account name: New Dawn - Cornwall | Account No. 30464048 | Sort code: 23-69-72

* Indicates required field

Any additional information

Please feel free to provide any further information that may help us or ask any questions or concerns you may have.

Comment *

Confirmation

I confirm that the information given in this form is true, complete and accurate

Print name *

Signature *

Max file size: 20MB

Upload File *

Max file size: 20MB

Date *

I agree to receiving marketing and promotional materials

Submit

Data Protection
The information you provide on this form will be held by New Dawn - Cornwall. Your information will not be used for any other purpose by New Dawn - Cornwall and will not be passed onto any other third party without your permission. The information you provide on this form will be retained for its purpose, after which period it will be destroyed in a secure manner. All personal information held by New Dawn - Cornwall is held safely in a secure environment.

Before submitting, we suggest you print this page so that if there is a problem, you have your responses and can easily copy them into the form again to submit. You should be able to print a page from your browser to a PDF, assuming you have that installed. Or, copy all the text on this page by highlighting with your mouse and paste into a word processor, like Microsoft Word or Google Docs (which is free).

After submitting, you should get a confirmation message that says the form was successfully submitted and you will get an emailed copy of the form you submitted. If none of this happens, then the form did not submit properly and you will have to try again.

If the form will not submit or you cannot sign it with your mouse, the problem is likely that either that you have missed fields that require information, your browser/computer security settings are set too high, or your browser cache needs to be cleared. If those solutions do not work, then you might be able to print or save this page with all the information filled in as a PDF, if you have the capability installed on your computer. If so, then you can email the PDF to us. If none of the above works for you, you can print this page, fill it out by hand, then scan and email it back to us.

Tell us about you
& your dog

Dog Walking / Drop in Service Booking Form

Service required *

Owner information *

Partner / Spouse

Emergency Contact / Pick up *

Dog information *

Other dog from the same household

Veterinarian Information *

Insurance

Dog medical and health information *

Dog Behaviour *

Socialisation and Training (required for dog walking service only)

Permission to walk dog off lead (required for dog walking service only)

Accessing your home if you're not in

Meet & Greet Assessment *

Liability

Payment / Requirements

Photo and video consent *

Any additional information

Confirmation

About

Services

Support

Tell us about you​& your dog

Dog Walking / Drop in Service Booking Form

Service required *

Owner information *

Partner / Spouse

Emergency Contact / Pick up *

Dog information *

Other dog from the same household

Veterinarian Information *

Insurance

Dog medical and health information *

Dog Behaviour *

Socialisation and Training (required for dog walking service only)

Permission to walk dog off lead (required for dog walking service only)

Accessing your home if you're not in

Meet & Greet Assessment *

Liability

Payment / Requirements

Photo and video consent *

Any additional information

Confirmation

About

Services

Support

Tell us about you
& your dog