Dog Walks & Hikes

Service Request

Daily Dog Hiking or Walking

Client Name *

First Name Last Name

E-mail *

Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code

Cell Phone Number *

Area Code Phone Number

Home Phone Number

Area Code Phone Number

Best way to reach you *

Best time to reach you

: Hour Minutes

Pet's name *

Species *

Breed *

Age *

If hikes or walks, is your need for service based around your dog’s potty schedule? *

Yes No

Do they have access to go potty whenever they need? *

Yes No

Date you’d like to start service. *

Month Day Year

How many times a day do you need service? *

How many times a week do you need service? *

What days of the week would you like service? *

Monday Tuesday Wednesday Thursday Friday Saturday Sunday

What is the earliest in the day we can come to your home to provide service? *

: Hour Minutes AM/PM Option

until

until : Hour Minutes AM/PM Option

What is the latest in the day we can come to your home to provide service? *

: Hour Minutes AM/PM Option

Are there any other service persons coming and going on the days we would provide service that might change the routine or schedule that we need to consider? Ex. Gardener, House Keeper, Pool Service *

Has your dog ever been trained ? *

Yes No

Is your dog leash trained? *

Yes No

Is your dog trained to work off leash? *

Yes No

Is your dog friendly with other dogs? *

Yes No

Do you want them to be worked with privately or with other dogs? *

Privately Group

What type of exercise does your dog currently have?

How long does your dog(s) perform these exercises?

Has your dog ever bitten another animal or person? *

Yes No

If yes, please explain.

Does your dog react to anyone or anything in particular? Ex. Strangers, fireworks, kids *

Does your animal(s) have medical or special needs? *

Yes No

Are there any special comments or requests we should know about ?

How did you hear about us? We would like to send them a thank you! *