Chocolate Tortoise Dog Walking & Pet Sitting
12 Wolfs Wood
Oxted
Surrey RH8 0HL
07821 795 011 / 01883 714 823

Client Registration Form

Client Details

First Name
Last Name
Street Address
Town
County
Postcode
Home Phone
Mobile Phone
Work Phone
Preferred Email
How did you hear about us? (optional, but this helps improve our marketing channels)
Tick if you would be willing to provide a reference for Chocolate Tortoise at some point in the future
Tick if you would be willing for a photo of your pet to appear on our website
Note that we reserve the right to take a photo of your pet(s) to be used for our internal database only. It will not be used for any other purpose (including appearing on our website) unless you give your permission above

Emergency Contact Details

Should we not be able to contact you, please provide details of your vet and a person who can make a decision concerning your pet and your property in your absence. Please ensure your named person knows that you have nominated them
Select if your vet is one of the following:
          
        

Vet Name
Vet Address
Vet Phone
Emergency Contact Name
Emergency Contact Phone

Pet Details

Pet 1 Pet 2 Pet 3 Pet 4
Species (dog, cat...)
Name
Sex
Date of Birth (dd/mm/yyyy) / / / / / / / /
Breed
Colour
Please answer the following questions in all cases (tick the box if the answer is YES)
Neutered?
Microchipped?
Has ID tag?
Vaccinations current?
Please answer the following questions for dogs to be walked (tick the box if the answer is YES)
Good with children?
Good with other dogs?
Good with strangers?
Possessive over toys?
Can be aggressive?
Jumps up at people?
Pulls on the lead?
Returns when called?
Stays close off lead?
Reacts badly to loud noises?
Chases other animals (cats etc)
Recall word or action (e.g. whistle)
The following permissions, if given, will be exercised when the Dog Walker feels it is appropriate:
Permission is given to walk my dog(s) with other dogs
Permission is given to walk my dog(s) off lead (see T&C below)
Please answer the following questions if pet sitting services are required (tick the box if the answer is YES)
House trained?
Lives outside?
Likes being handled?
Likes playing games?
Details of feeding (location of food, amount etc.)
Details of cleaning (location of bedding, cleaning tools etc.)

Pet Health

Please provide any details of health issues with any pet, that we should be aware of:
Pet 1 Pet 3
Pet 2 Pet 4

Any other comments

Please include any further comments not covered by the above

Terms And Conditions

  1. Data Protection: Your details will be stored securely and used only for the stated purpose, i.e. maintaining client records for the dog walking and pet sitting business. Your details can be made available to you upon request. Your details will not be made available to any third party companies
  2. Cancellation fees: while it is unlikely that cancellation fees will be applied in the event of cancellation, we do reserve the right to charge 100% of the fee if the booking is cancelled within 2 hours of the allotted time, and to charge 50% of the fee if the booking is cancelled within 24 hours of the allotted time
  3. We reserve the right to make decisions regarding a pet's health if reasonable efforts to reach the owner's emergency contact have failed and provided it is in the best interest of the pet and on the advice of a veterinary surgeon
  4. The owner's initial signature and agreement to these Terms & Conditions shall be valid for all subsequent bookings by the owner
  5. Full fees, less the deposit, are payable at the start of the walk or sitting, unless by prior arrangement
  6. The owner shall be responsible for payment of vet fees, and/or other costs (e.g. food, medicines, transport) incurred on the pet's behalf (if any) during his or her absence
  7. If an owner requires a dog to be exercised off lead, the owner shall assume full responsibility in the event of any loss or damage, howsoever caused
  8. The owner warrants that the information given on the booking form is honest and complete, and will notify the Company of any changes when making future bookings
  9. Signature of the booking form and/or electronic return of the booking form constitutes acceptance of these terms and conditions
Signed:     Date: