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Dog Walking Release Form

Captures the pet owner's contact details, the dog's background, and behavior history before authorizing a walking service.

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Client's Full Name

First Name

Last Name

Address

Street Address

City

State / Province

ZIP / Postal Code

Phone Number

Dog's Name

Breed

Age

Medical Conditions or Special Instructions

Has your dog visited any dog parks?

Yes No

If so, how did they interact and socialize with other dogs?

Has your dog ever attempted to bite another dog or a person?

Yes No

If yes, please provide further details.

Is your dog possessive over toys or food?

Yes No

If so, please describe this behavior in more detail.

Has your dog ever been in a scuffle with another dog?

Yes No

If so, please provide additional information.

Are there any medical conditions or health concerns we should know about?

Has your dog received any obedience training?

Yes No

If so, please specify the type of classes and where they took place.

Emergency Contact Name

First Name

Last Name

Emergency Contact Phone Number

Veterinarian's Name

First Name

Last Name

Veterinarian's Phone Number

Days of the Week

Monday Tuesday Wednesday Thursday Friday Saturday Sunday

Start Date

End Date

Client's Signature

Sign here

Date Signed

Dog Walker's Signature

Sign here

Date Signed

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