4 Paws-A-Walkn’

Linda J Wakeley
703-659-3173
Bristow VA 20136

         Dog Walking Information Sheet

*Please fill out one form for each dog so that we may provide the best possible care for your pet.  Thank you.
Name: _________________________   Male / Female      Spayed / Neutered     Microchipped: Yes □⁭	 No □
Breed: ___________________ Colors/Markings: ______________________
Collar Type: ____________________ Age: ____________________    
Caged / Run of house / Outdoors / Limited to: ___________________________________________________
What commands does your dog know:
		□ Sit      ⁭	□ Give Paw     ⁭	□ Other: _______________________________________
		□ Stay   ⁭	□ Play Dead               ⁭□ Other: _______________________________________
		□ Beg    ⁭	□ Roll Over    ⁭ 	□ Other: _______________________________________
Walk Route: _____________________________________________________________________________
________________________________________________________________________________________
Location of leash/walk pointers: ______________________________________________________________
________________________________________________________________________________________
Favorite Toys/Games: ______________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
Precautions (other dogs, people, scared of): ____________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
Anything else we should know: ______________________________________________________________-________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Veterinarian Information
Name: _______________________________________  Address: __________________________________
Phone:_______________________________________

Owner Contact Information:
Name: ______________________________________ Home Number:_______________________________
Address: ____________________________________ Work Phone:_________________________________
               ____________________________________Cell Phone: __________________________________
Emergency Contact: ___________________________ Emergency”s # _______________________________
Email Address:  _________________________________________
Security System:

Company Name: ________________________ Phone Number: _______________________
Password: _____________ Code: __________ Door Entering (must be near alarm):_______
Arming Instructions: _____________________Disarming Instructions: __________________

Feeding Instructions:  
Feeding Time: ___________________________________ Treats: ________________________________

Location of food:_____________________________________________________

Amount of food:______________________________________________________

Special feeding instructions:_________________________________________________
__________________________________________________________________________________________________________________________________________   

Location of Cleaning Supplies:
_______________________________________________________________________________________________________________________________________________________________________________________________________________
Location of Shut off Valves:
Gas___________________________________ Water_________________________________
Breaker Box___________________________________________________________________

      *This form will be kept on file for all future visits.  If anything changes, you will remark so on the vacation/trip log at each visit booking.

I, _________________________, have entered the above information as truthfully and accurately as possible.

___________________________________________________
                                          Client Signature                                                                 Date