For current fees please click here Dog Walking Form The information shared here will be kept in accordance to GDPR and the privacy policy you can find on the website. For more information email hannah@topofthepack.co.uk I consent to Top of the Pack Cheshire using and storing my data for the purpose of the service provided Name of Dog Name of Dog First First Last Last Dog’s Date of Birth * Breed * Colour/Markings * Worm & Flea Protection up to date? * Yes No Kennel Cough Protection up to date? * Yes No Sex * Female Male Neutered Male Spayed Female Any operations in the last 6 months? * Any allergies? * Owner’s Name * Owner's Name First First Last Last Second Owner Second Owner First First Last Last Full Address * Postcode * Mobile Number Owner 1 * Mobile Number Owner 2 * Veterinary Name & Address * Veterinary Contact Number * If any of the pets named above becomes ill or is injured, I consent to Hannah Mather taking the pets to seek Veterinary Assistance * Yes No If you selected No in the above question, please provide alternative emergency care details Emergency Contact * Microchip Details * Dog Passport Details Mandatory Trial Date Availability (please add days you are UNAVAILABLE here) Mandatory Trial Completed * Yes No Collar and Tag Supplied? * Yes No Other Other collar information (GPS, colour etc) Bedding & Toys Description (if supplied) Notes about behaviour/temperement * Food Supplied * By Owner By Boarder Treats allowed? * Yes No Length of walk * 30 minutes (£10.00) 1 hour (16.50) 2 hours (£30.00) Preferred Day(s) * Preferred times * Please see fee breakdown for late collection I hereby confirm that the details above are correct and that I have read understood and accept Top of the Pack (Cheshire) Terms & Conditions * Yes, they are correct and I agree to the Terms and Conditions Consent is given for the following activities whilst in the care of Top of the Pack Cheshire Walking dog on lead, off premises Walking dog off lead Mixing dogs at premises inside & out Environmental enrichment discussed & agreed Sharing of designated rooms with other dogs Veterinary advice where required Crate use Feed dog in places other than designated space Feed separately from other dogs Feed dog in same areas as other dogs This form has been completed fully and honestly by: * Consent given for Top of the Pack to be a secure keyholder * Yes No – I will always be at home to hand over the dog for walks This form has been completed fully & honestly by: If you are human, leave this field blank. Submit
