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DogZenergy Registration


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Contact Information

Pet Parent’s First Name*:
Pet Parent’s Last Name*:

Street Address*:
Street Address 2:

City*:
State*:

Cell Phone*:
Home Phone*:

Work Phone*:
E-mail (Invoices/updates will be sent here)*:

Pet Parent2 First Name:
Pet Parent2 Last Name:

Pet Parent2 Cell Phone:
Pet Parent2 Home Phone:

Pet Parent2 Work Phone:
Pet Parent2 Email:

Would you like to receive emails with info about your dog’s day?*:
No Yes

How Did You Hear About Us?*:
Please Explain*:



Emergency Contacts

Emergency Contact 1 Name*:
Emergency Contact 1 Phone*:
Emergency Contact 1 Relation*:

Emergency Contact 2 Name:
Emergency Contact 2 Phone:
Emergency Contact 2 Relation:

Emergency Contact 3 Name:
Emergency Contact 3 Phone:
Emergency Contact 3 Relation:


Home Security

Do you want our company to keep a copy of your keys on file? *:
No Yes

Directions to access dog*:

Please indicate which doors are to remain locked*:

Set Alarm?:
No Yes

Alarm system panel(s) is located:

Alarm company phone number:



Veterinary Information

Name of hospital*:
Vet Phone Number*:
Preferred Doctor*:

Hospital Address Street*:
Hospital Address City*:



Pooch Profile(s) - "Add New" For Each Pooch

  2. Pooch 1
  3. Add New

Profile 1

Pet Name*:
Pet Breed*:

Pet Date of Birth *:
Color(s)*:

Male / Female*:
Male Female

Spayed / Neutered?*:
No Yes

Distinguishing features*:

Favorite toys/games/treats *:

Medical History

Food allergies/restricted foods*:

Major medical conditions (past or present)*:

Medications (name, dosage, frequency)*:

Other Allergies?*:

Pooch Character Profile - Please Complete Any That Apply

Check any that apply:
 the undersigned is the only owner of the dog
 the dog is current on it's rabies shots and vaccination
 the dog is in good health
 the dog obeys basic commands such as: stay, sit, come
 the dog is potty trained
 the dog is friendly toward children and adults
 the dog is friendly toward other dogs and other animals
 the dog has never started a fight with another dog
 the dog has never bitten a person
 the dog has never started a fight with another animal
 the dog has never been declared a dangerous dog or pote
 the dog does not have any health issues to be concerned
 the dog is allowed to attend a dog park and the owner a
 the dog is not a trained guard dog or protection dog

Please indicate the behavior issues you are looking to solve*:
 House training
 Puppy biting and chewing
 Aggressiveness towards adults
 Aggressiveness towards children
 Play aggression
 Barking
 Digging
 Separation anxiety
 Possessive of toys/space
 Possessive of people
 Territoriality
 Growling
 Boredom
 Leash Aggression
 Pulling and Lunging on the leash
 Mounting
 Anxiety
 Hyper activity
 Begging
 Jumping on people and guests
 Jumping on counters
 Running away
 Bolting outdoors
 Destructive behavior

Please describe your dog’s behavioral history:

Describe your dog’s temperament:

Has your dog had any major life changes (moving, rescued, new baby, new dog, etc.)?:

Has your dog had any recent traumatic events (attacked by a dog, bad experience with a person, etc.)?:

How often and how much exercise does your dog receive daily and weekly?:

When has your dog last been to the vet for an examination?*:

What was the reason for your dog’s last vet exam?:

What is your ultimate goal in training your dog?:

Are you willing to be trained to become the best owner that you can be for your dog?:
No Yes

Are you willing to put in 100% effort and dedication in reaching your goal with your dog?:
No Yes

Where will your dog be located?:

Where will your dog’s leash, dog bags, etc. be kept?:

Has your dog ever tried to get out of the yard, run away, or try to escape from a situation?:
No Yes

If so, please be specific in directions on how to properly secure your dog in your yard or home upon drop off:

Has your dog been to dog parks before?:
No Yes

If so, how often?:

Does your dog play well with all other dogs?:
No Yes

Has your dog ever shown any aggression towards any people or dogs?:
No Yes

Is your dog up to date on all vaccinations and has a clean bill of health from your vet?:
No Yes

Is your dog fearful of anything (skateboards, loud noises, etc)?:
No Yes

If so, explain:

Is your dog leash aggressive?:
No Yes

Please fill out your dog’s daily feeding instructions:

Where should your dog be left alone if the pet sitter needs to leave?:


Terms and Conditions

Dog requirements
· must be fully vaccinated and current
· must be licensed with your city or county (State Law)
· have a safe and strong leash
· have a flat collar with identification tags (name, license, contact numbers)
· friendly with unfamiliar people
 
Terms and Conditions
· For in-home pet care and for pet care in the pet sitter’s home, the pet sitter will stay overnight with the dogs for a minimum of 12 hours. · During the day the dogs may be left alone for a maximum of 4-5 hours at a time.
· Please alert the pet sitter of any separation anxiety and discuss how long the dog is usually left unattended.
 
Equipment
DogZenergy may ask that you purchase either a head-collar or specialized body harness if you don’t have the appropriate equipment.
- Gentle Leader
- Halti
- Sensation Harness by Soft Touch Concepts
- Easy Walk Harness by Premier
- Appropriate muzzle if required
 
Leaving a key on file
This allows DogZenergy to be available for short notice visits, but is not mandatory. All it takes is a phone call or email to set up future services. It can also be difficult to arrange drop off and pick up key visits.
 
House Codes/Garage Door Opener
DogZenergy will accept an opener or code if that is the way you would prefer entry however, a physical key is required in case of power outage or malfunctioning equipment.
 
Off-leash
 All dogs will be off-leash when in a fully fenced enclosure such as a dog park or private backyards, unless given permission by the owner to let the trained dog off-leash in a place with no fences such as the beach.
 
Cancellation Policy
A minimum of 24 hours cancellation notice is required, except in the case of extreme emergency. Cancellations resulting with less then 24 hours notice may be charged 50% of the full rate.
 
Extra Fees
In the case that a dog relieves himself within the pet sitter’s vehicle, there is a $50 seat cleaning fee. Any damage done to the pet sitter’s vehicle/home/property, such as chewing on walls, seat belts or doors, is the financial responsibility of the dog’s owners. It is the responsibility of the dog owner to alert the pet sitter to any destructive behaviors.     

Click Here First To Download the DogZenergy Contract For Services. First time clients must print this form, fill it out, and sign in order to receive any service.

By checking below, you are agreeing to the terms of service*:
 I accept

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