Your Name (required)
BEST Phone (required)
BEST Email Address (required)
Dog's Name (required)
Check Appropriate Boxes MaleFemale SpayedNeutered
Your dog's approximate weight:
If yes, chip number:
Emergency Contact (required)
Emergency Contact PHONE (required)
Please list all known medical conditions:
Does your pup have allergies? Please describe:
Your pup needs to be walked on harness or collar with its lead? Please Describe:
Where is this located? (We will expect this to be the same place every walk)
Is your pup: (check one)
CagedRun of houseOutdoorsLimited (describe below)
Describe "Limited" here:
Can your dog have treats? YesNo
Does your dog come when called? YesNo
What other commands does your dog know?
How does your dog react to other dogs and people when you are walking?
Does your dog walk calmly or pull when walking? Please describe its behavior and temperament on leash:
Areas we need to avoid: (example: don’t go near the lake, buddy has a high prey drive and will try to go after all the geese)
Stressors that may cause your pup to behave in a way that differs from its normal state of being (examples: lightning, trains, loud noises, kids, etc):
Preferred Dog walking times:
Please give us an hour time window
(9am–11qm, 12pm–2pm, ect.)
Door Entering (must be near alarm):
Gate Properly Working: YesNo
Invisible Fence: YesNo
Pet Door: YesNo
Describe any problems or tricks for navigaating the doors/locks/security systems or fence:
How will the walker enter home or yard?
Parking Instructions (if needed):
Location of leash, poop bags, treats:
Where should we dump poop bags after walk?
Will you have any one else on your property (relatives, friends, house cleaner, etc.):
Please provide us with any additional information that you think we should know about your home, yard or pup that will help us provide the best care for you and your pup:
I release my house keys to Dogwood Cottage Inc. to retain on file.
I may revoke this release at any time, at which time keys will be returned.
I will not hold Dogwood liable in the event that key or property becomes lost or damaged.
By checking this box, I am agreeing to the above terms.
I understand I will have to cancel a walk 24 hours ahead before scheduled walk.
I understand that I will need to reserve my services at least a week ahead due to scheduling restrictions and limitations.
I understand that I make said reservation by calling the front desk at 781-662-3939 between the hours of 9am and 5pm Monday through Friday.
I understand that all the necessary forms must be completed and signed off on prior to starting the walking services.
I understand that I may not have the same walker every time.
I understand that dogs are animals and by nature have a fight or flight response to nature and its energies around it and that due to this I will not hold Dogwood liable in the instance including but not limited to my dog running away, getting loose from it’s collar, running towards another person or animal causing the walker to no longer have control.
I understand that if my dog is destructive or aggressive or anxious and damages property that Dogwood is not liable and it is not Dogwood’s nor it’s employees’ responsibility to clean, fix, mend or repair any such property.
I understand that unless I have a prearranged a solo walk for an additional 5.00 that my dog will be or could be walked in a group of 3 or less.
I understand that I do not contact the walker directly.
I understand that such contact as a call or text or email to a Dogwood employee does not count as an acceptable form of reservation.
I understand that Dogwood may need to transport my dog in order to get another dog for their group walk and release Dogwood and its employees from liability in the case of any incident.
In the event of an emergency, I give Dogwood and/or its employees permission to transport my pet(s) to the above veterinarian and authorize treatment in the event of an emergency and Dogwood is released from liability related to transportation to and from veterinarian and treatment for sickness or emergency.
This release will remain valid for any and all visits.
Further, my signature acknowledges all of the aforementioned policies and terms of Dogwood Cottage, its employees and its walking services.
I understand that Dogwood may change any term or policy at moment without notice.
Your Electronic Signature
*By signing this Electronic Signature Acknowledgment Form, I agree that my electronic signature is the legally binding equivalent to my handwritten signature. Whenever I execute an electronic signature, it has the same validity and meaning as my handwritten signature. I will not, at any time in the future, repudiate the meaning of my electronic signature or claim that my electronic signature is not legally binding.