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Dog Walking Services

Client Information

First name*

Last name

Email*

Phone*

Address*

Dog Information

Dog's Name*

Breed*

Date of Birth (Age)*

Sex*

Male

Female

Spayed/Neutered*

Yes

No

Weight*

Health and Medical History

Veterinarian's Name/Clinic*

Vaccinations: Up-to- Date*

Yes

No

Past or Current Health Issues (if any):

Current Medications (if any):

Any Physical Limitations or Conditions (e.g., arthritis, vision issues)?

Any Allergies? (Environmental, Food, etc):

Behavioural Background

How long has the dog been in your care?

Where did you get your dog? (e.g., breeder, shelter, rescue, friend):

Previous Training Experience (Group classes, private lessons, online courses, etc.):

What commands does your dog know? (e.g., sit, stay, come, heel):

Behavioural Concerns and Training Goals:

What specific behavioural concerns do you have? (Select all that apply):*

Excessive Barking

Jumping on people

Leash Pulling

Aggression

Separation Anxiety

Chewing on Furniture/Items

Potty Training Issues

Fear or Phobias (Noises, objects, etc.)

Other

Any Additional Notes or Requests?

Date

Month

Day

Year

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