Group Dog Walks Name First Name Last Name Phone (###) ### #### Email Home Address Address 1 Address 2 City State/Province Zip/Postal Code Country Dog's Name Dog's Breed Dog's Weight (lbs) Dog's Age Primary Veterinarian Has your dog been spayed/neutered? Yes No Is your dog up to date on the following vaccines; Bortadella, Rabies, and Distemper? Yes No Don't Know How is your dog's behavior during car rides? How does your dog get along with other dogs? Does your dog usually walk on or off leash? On Leash Off Leash Both/Other If off leash, how is your dog's recall? Has your dog ever ran off and not come back for more than five minutes? In the past two years, has your dog shown any signs of aggression towards people or other dogs? If yes, please describe. Does your dog have any health problems? Anything else? (questions, special requests, etc.) Thank you!