Client Booking Form

Please complete the booking form below as fully as possible, then click Submit.  (*For more than one dog, please complete this form for each dog, or provide as much information as possible for all dogs.)  We'll be in touch with you as soon as we can to discuss your specfic dog care requirements, and how we can be of service to you.
Name *
* Required Fields
E-mail Address *
Home Phone Number
Cell Phone Number
Address (street address, city, zip) *
Special Access Instructions?
Typical Work Hours
Your Dog's Name *
Breed and Age *
Gender *
Is your dog spayed or neutered? *  Please note that we cannot care for entire males over the age of 9 months or female dogs in season.
Size and Color *
Valid Tag or License Number
Dog has received complete immunization for DHLPP, Bordatella (Kennel Cough) and Rabies. *
Is Your dog continent and fully house-trained ? *
Service Locator *
Please provide details of any recent or current health problems.
If your dog is on medication, please provide details (purpose, dosage and frequency).
Has your dog ever shown aggression towards people or other animals?  If yes, please give details.
Is your dog insured? *
Is your dog micro-chipped? *
Does anything upset, disturb or unsettle your dog?  If so, please give details.
Does your dog enjoy grooming? *
Will your dog come back when called? *
What specific commands does your dog understand and respond to? *
Which of our services are you interested in? *
Preferred date of service/Weekly walk days? *
Preferred time slot? *
If the services, days or times you require differ from those provided, please tell us what you need.
Emergency contact name, address and phone number. *
Start Date *
Any special requirements, e.g., vegetarian, male/female/couple, willing to have dogs on the bed, etc.?
End Date (if applicable)
How did you hear about Wag-A-Little? *
Please expand on your previoius answers, if applicable, i.e., who recommended us, etc.?
I have read, understand and accept the liability waiver, terms and conditions and release forms *

Copyright 2013 Wag-A-Little: Dog Walkers & Pet Sitters.  All rights reserved.

To book an appointment or to learn more about our dog walking and pet sitting services, please email us or call us at (720) 515-3567.
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