Register

Register Your Details

If you need to register a second dog, you will be invited to add a second dog once this form has been completed.

Service required

Date From

Date To

Name

Your Address

Town

Postcode

Mobile/Main

Emergency Contact

Home

Work

Dog Name

Dog Breed

Dog Date of Birth

Dog Gender

Neutered

Microchipped (legal Requirement)

Upload a Photo

Specific instructions / Information

Administer medication

Vaccination / Titre Test

Behaviour: good, confident, well mannered etc

Please specify: (e.g Nervous/shy)

Has your dog had a previous dog walker?

Please specify the reason for change to Dog Walking Services by Darren Larkin

Pulls on lead

Anxious / fearful

Touch sensitive

Has your dog had her first season?

Approximate cycle / Estimated next season

Is your dog muzzle trained?

Can your dog travel well e.g., (suffers from travel sickness or fraility)?

Please explain his/her necassary needs and requirements

Disclosure of any control orders, breaches or prosecution; historical or current; or other incidents.

Dog Walking Services by Darren Larkin wavers any responsibility or liability of any accident / injury or death to your dog when the registration form has been signed by the client. Owners should check their own pet insurance for such claims and be liable for any claims against Dog Walking Services by Darren Larkin.

Indemnity Clause (Part B) Your Signature of agreement

Indemnity Clause (Part C) Today's date

No. of visits per week

Consent for use of photographic / video material for use on website / social media

Does your dog wear a tracking device?

If Yes, is it permanately switched on? NB. This may become irratic while collections and drop-offs are taking place with your dog onboard.

Registered Veterinary Practice and Name of Veterinarian

Veterinary Practice address

Veterinary Practice Telephone No.

Your consent to contact your emergency contact in the event of a household emergency (non-pet related) if you are unattainable?

Does anyone else hold a key and/or have access to your property?

Do you have CCTV in your home (includes door bells etc.) indoor or outdoor

Please describe locations

Do you have an alarm system?

Will it be switched on before my arrival?

Access to property

How did you hear about Dog Walking Services by Darren Larkin

I (the client) confirm that I have answered all questions truthfully and have not withheld any relevant information. I understand that non-disclosure of information may affect future service provision and negate Dog Walking Services by Darren Larkin liability insurance:

Your Signature

Date

Register

Register Your Details

Session Hours

Home Wellness Checks