Encinitas Pet Sitting | Dog Walking Form

Primary Owner's Name *

Primary Owner's Address *

Primary Owner's Phone Number(s) *

Primary Owner's Email Address

Secondary Owner's Name

Secondary Owner's Phone Number(s)

Secondary Owner's Email Address

Emergency Contact's Name

Emergency Contact's Phone Number(s)

Dog's Name *

Dog's Breed/Description *

Dog's Age (Approximate is okay) *

Dog's Weight (close approximate is okay) *

Dog's Sex *

Male

Female

Feeding Instructions (If we'll be feeding your dog)

Does your dog receive treats? If yes, how often and what times of day?

Where will your dog's food, water, treats, leashes and any other important items be located? *

Does your dog have allergies or sensitivity to anything or need any medicine for any other reason? If yes, please explain and include necessary instructions *

Do we have permission to take your dog to the vet if necessary? *

Yes

No

Name of Vet/Clinic *

Address of Vet/Clinic *

Phone number of Vet/Clinic *

Has your dog ever bitten a person or another animal? If yes, please describe in detail *

Please describe your dog's behavior toward new people *

Is your dog friendly with other pets? Please explain if necessary *

Please describe your dog's behavior around food/water dishes and toys *

Does your dog know any cues that you would like us to use out on walks or when receiving treats? *

How would you describe your dog's personality and what does he/she enjoy doing? *

May we take your dog in the car for a little adventure? If yes, please include any necessary information. (We use doggy seat belts) *

Will there be any people visiting your home during your time away? (i.e. Maid, Gardener, Relative)? Any special instructions?

Is it okay for us to take pictures of your dog(s) to use on our social media business pages? *

Yes

No

Just a heads up - We'll be checking around any open rooms/areas that your dog(s) have access to to make sure they haven't gotten into anything and/or had any accidents. *

Ok, I understand!

Anything else we should know?

Feel free to send another document apart if necessary

Optional but appreciated: Where did you find us?

(i.e. Yelp, Google search, Referred by John Doe)

How do you prefer to pay? *

Cash or Check

Credit Card in person (Via Square CC Reader)

PayPal (see below)

Venmo (see below)

I don't know how much to pay yet!

I know how much to pay, but I will let you know how I prefer to pay later