Dog Walking Form

* Indicates required field

Name *

First

Last

Name of Spouse or Partner *

First

Last

Full Address *

Email *

Best Number To Reach You *

Emergency Contact *

First

Last

Emergency Contact Phone Number *

Dog's Name *

Breed *

D.O.B or age *

Sex *

Please specify so I can thank them *

Vet's Name *

First

Last

Vet's Phone Number *

Health issues / medications / allergies / concerns? *

Can your dog have treats? *

Yes No

Does your dog try to eat things off the ground? ex. poop, garbage, etc. *

Is there anything else you'd like me to know? *

Has your dog ever bitten? *

If yes, describe the circumstances? *

What is your dog's reaction when a stranger enters the home? *

Marlo Hiltz (and Wooff) will endeavor to offer only sound, safe, and responsible care for my dog(s). However, I understand the risks inherent in having my dog walked outdoors, including but not limited to interactions with other dogs and potential exposure to injury, disease, and parasites. Further, I am and will remain responsible for the actions of my dog at all times and I hereby agree to indemnify and hold harmless Marlo Hiltz of any and all claims of injury, expense, costs, or damages caused by the actions of my dog while under Marlo Hiltz's care and under my own care as a result of following any instructions given me by Marlo Hiltz. Additionally, Marlo Hiltz is authorized to enter my home to pickup my dog for its walk. Marlo Hiltz will act with all due respect and caution in my home in my absence and I hereby agree to indemnify and hold harmless Marlo Hiltz of any and all claims of damages to my home. I understand that the recommendation of any other product or service is not a guarantee of my satisfaction with that product or service.

I will provide Marlo Hiltz with the name and telephone number of a veterinarian to be used in the event of an emergency with my dog. Marlo Hiltz is hereby authorized, within her sole discretion, to seek emergency care from the specified veterinarian. In the even that the specified veterinarian is unavailable, Marlo Hiltz is authorized to select an alternative veterinarian, and to approve medical and/or emergency treatment (excluding euthanasia), as recommended by the veterinarian. I will be responsible for all veterinarian and other incidental costs (transportation etc.), and agrees to reimburse Marlo Hiltz for any expenses incurred in regard to emergency care.

I agree to waive and relinquish all claims against Marlo Hiltz, except those arising from gross negligence or willful misconduct. This agreement constitutes the whole agreement between the parties.

I authorize this electronically signed agreement to be valid for any future services permitting Marlo Hiltz to accept telephone reservations and enter my home without additional agreements or authorizations.

I have reviewed this service agreement for accuracy, understand its contents, and agree in full thereto.

Knowing full well that Marlo Hiltz will exercise good judgement regarding my dog's safety and wellbeing, I authorize Marlo Hiltz to allow my dog off-leash outdoors. I release Marlo Hiltz from any injury or damage incurred due to my dog being off-leash. *

Yes No

Please enter your full legal name (this serves as your signature) *

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