Contact & Pet Information Form

Owner Information

Full Name *

Mobile Phone *

Email *

Address *

Emergency Contact Name *

Emergency Contact Phone *

Do You Use WhatsApp? (For Overseas Holidays)

Yes No

Dog Information

Dog's Name *

Breed *

Age & DOB *

Sex *

Male Female

Desexed? *

Yes No

Pet Insurance?

Yes No

Instagram Handle (For activity updates)

About your dog - tell me more!

Veterinary Information

Regular Vet Clinic *

Vet Phone *

Vet Address

In case of emergencies, discretion will be used to determine the most suitable veterinary option ensuring the welfare of all dogs in our care.

Vaccination & Health

C5 or C7 Vaccination Date *

Do you have a copy of the Vaccination certificate?

Yes No

OR Titre Testing?

Yes No

Flea & Worming Prevention

Tick Prevention

Any medical conditions or injuries?

Allergies or food sensitivities?

⚠️ Important: Your dog will participate in various indoor and outdoor activities including park, bush and waterway locations. Please discuss with your Vet the best flea, tick, worming and vaccination options.

Any medications?

Name

Dosage

Frequency & Other Notes

Behaviour & Temperament

Does your dog have anxiety?

Yes No

Can your dog be left alone for 2-3 hours? *

Yes No

As we have two group walks, your dog will need to be capable of staying alone whilst other dogs are walked.

Has your dog been to daycare/boarding previously?

Yes No

Is your dog friendly with other dogs?

Yes No

Is your dog friendly with people?

Yes No

Is your dog friendly with children?

Yes No

Does your dog have a history of aggression?

Yes No

Is your dog an escape artist?

Yes No

How does your dog walk on-lead?

Perfectly (J-walking by your side) Pulls to start, then settles Lead is under pressure most of the time Other

Off-lead Skills (tick all that apply)

Has reliable recall Is easily distracted Approaches other people Approaches other dogs Chases wildlife Can swim Practices recall frequently Unknown

Any other information

Does your dog mark?

Marking is a territorial behaviour where a dog urinates multiple times in order to leave their scent.

Yes No

Has your dog stayed away from home before?

Yes No

Sleeping Arrangements

Where does your dog usually sleep?

Anything that helps them settle?

Consent & Acknowledgement

By signing below, I acknowledge and agree that:

All information provided is accurate to the best of my knowledge
I am the legal owner or authorized representative of the dog(s) listed
I authorize Pawsitive Paws to obtain emergency veterinary treatment if required
I understand that dogs can be unpredictable and minor injuries may occur during play
I consent to my dog being photographed/videoed for social media and promotional purposes
I have read and agree to the Pawsitive Paws Terms & Conditions

I have read, understood and agree to the above terms and conditions. *

Your Full Name *

Date *

Signature *

Sign here

Your response will be reviewed by Pawsitive Paws

Contact & Pet Information Form

Owner Information

Dog Information

Veterinary Information

Vaccination & Health

Behaviour & Temperament

Sleeping Arrangements

Consent & Acknowledgement

Thank You!

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