Dog Walking Application Form

Before you spend time completing this application form please contact us to check we have availability to meet your requirements!

Section 1 – Owner and Contact Details

Group or solo walks *

Full Name *

Address *

Home Phone *

Mobile Phone *

Email *

1st Emergency Contact (name and number) *

2nd Emergency Contact (name and number) *

Your vet's name *

Your vet's address *

Your vet's phone number *

Start date *

Days required *

Preferred walk time *

Client's working hours (to ensure your dog isn't left too long)

Other notes

Pet's name *

Breed *

Colour *

Age / Date of birth *

Sex *

Neutered *

Microchipped *

Up to date with shots (kennel cough, flea treatment, worming etc.) – please specify which treatments are applicable

General health and injuries *

Does your pet have good recall or will he/she run off? *

Would you prefer your dog to be kept on a lead at all times? *

YesNo

What type of lead / restraint do you use? *

General behaviour and energy levels (when inside and out)? *

Any particular fears or dislikes? *

Has your pet ever shown aggression or bitten? *

Can you touch any part of your pet's body? *

Is your dog possessive about food/toys with people or dogs? *

Behaviour around other dogs or new people? *

What is your dog motivated by? (food, ball, etc.) *

Any other notes not covered on behaviour?

How did you hear about Barney's World? *

Signature (full name) *

Date *