The Dog Walker - Walking Agreement Name Email Address Address Phone number Dog's name Dog's breed Dog's age Spayed-Neutered Spayed-Neutered Yes No 2nd Dog's name (if applicable) 2nd Dog's Breed (if applicable) 2nd Dog Spayed-Neutered (if applicable) Any home limitations for drop off Any walk limitations outside the home Any dietary restrictions Behavioural traits to be aware of Microchip details Is your dog vaccinated and up to date Is your dog vaccinated and up to date Yes No I chose not to vaccinate Other Emergency Contact Emergency contact phone number Emergency contact relationship Which of the following is applicable Which of the following is applicable I will release house keys to The Dog Walker I have/will have a key safe Someone will be home to grant access Permission to be walked off lead Permission to be walked off lead I DO give permission for off lead walking I do NOT give permission for off lead walking Off lead permission comments Cancellation Policy - Minimum of 24hrs notice must be given, otherwise you may still be charged Cancellation Policy - Minimum of 24hrs notice must be given, otherwise you may still be charged I agree If veterinary assistance is required - To the Veterinary Surgery in my absence The Dog Walker will be caring for my dog(s) and has my permission to transport them to your surgery for treatment. I authorise you to treat my dog(s) and I will be responsible for payment to you either before my departure or on my return. Please file this form with my records. I give further permission for them to transport my dog(s) to the veterinary surgeon mentioned below. I understand that The Dog Walker assumes no responsibility for the loss of the dog(s) and is released from all liability related to transportation, treatment and expense. If veterinary assistance is required - To the Veterinary Surgery in my absence The Dog Walker will be caring for my dog(s) and has my permission to transport them to your surgery for treatment. I authorise you to treat my dog(s) and I will be responsible for payment to you either before my departure or on my return. Please file this form with my records. I give further permission for them to transport my dog(s) to the veterinary surgeon mentioned below. I understand that The Dog Walker assumes no responsibility for the loss of the dog(s) and is released from all liability related to transportation, treatment and expense. I agree to the veterinary assistance statement above Vet's name Vet's contact number Vet's address Declaration and signature - please read the statement below I HEREBY CONFIRM THAT I AM THE OWNER OF THE ABOVE NAMED DOG (S) AND THAT I AUTHORISE THE FOLLOWING: THE DOG WALKER TO ACT AS GUARDIAN DURING MY ABSENCE AND TO TAKE ANY ACTION WHICH HE/SHE CONSIDERS SUITABLE IN ORDER TO PROTECT AND KEEP IN GOOD HEALTH THE ABOVE NAMED DOG(S). I DO FURTHER CONFIRM THAT I WILL BE RESPONSIBLE FOR ANY COSTS WHICH MIGHT BE INCURRED, EITHER VETERINARY OR OTHER, AS A RESULT OF ANY SICKNESS, ACCIDENT OR DAMAGE CAUSED TO OR BY THE ABOVE NAMED DOG (S). EXCEPT THIRD PARTY LIABILITY, AND THAT I WILL PAY ANY SUCH COSTS OR EXPENSES ON DEMAND. I ALSO UNDERSTAND THAT NO LIABILITY WILL ATTACH TO THE ABOVE MENTIONED PETSITTER AND BY SIGNING THIS DECLARATION I AGREE TO THE TERMS AND CONDITIONS OF THE DOG WALKER. I HEREBY CONFIRM THAT I AM THE OWNER OF THE ABOVE NAMED DOG (S) AND THAT I AUTHORISE THE FOLLOWING: THE DOG WALKER TO ACT AS GUARDIAN DURING MY ABSENCE AND TO TAKE ANY ACTION WHICH HE/SHE CONSIDERS SUITABLE IN ORDER TO PROTECT AND KEEP IN GOOD HEALTH THE ABOVE NAMED DOG(S). I DO FURTHER CONFIRM THAT I WILL BE RESPONSIBLE FOR ANY COSTS WHICH MIGHT BE INCURRED, EITHER VETERINARY OR OTHER, AS A RESULT OF ANY SICKNESS, ACCIDENT OR DAMAGE CAUSED TO OR BY THE ABOVE NAMED DOG (S). EXCEPT THIRD PARTY LIABILITY, AND THAT I WILL PAY ANY SUCH COSTS OR EXPENSES ON DEMAND. I ALSO UNDERSTAND THAT NO LIABILITY WILL ATTACH TO THE ABOVE MENTIONED PETSITTER AND BY SIGNING THIS DECLARATION I AGREE TO THE TERMS AND CONDITIONS OF THE DOG WALKER. I have read and agree the terms and conditions declaration above Sign by checking the box below Sign by checking the box below I have read and agree your terms and conditions as stated above Name of signee 12 + 12 = Submit