MAKE A BOOKING Please complete this information in as much detail as possible to ensure we can provide the best quality care for your pooch 334 A problem was detected in the following Form. Submitting it could result in errors. Please contact the site administrator. Booking Service Indoor Daycare (£45.00 and up) Outdoor Daycare (£45.00 and up) Dog Sitting (£70.00 and up) Dog Walking – Independent Walks (£22.00 per hour and up) Dog Walking – Group Walks (£18.00 per hour and up) Email Parent Name Phone Street Address Zip/Postal Code Dogs Name Breed Date of Birth Gender Male Female Spayed/Castrated Yes No Rescue Dog Yes No Microchipped Yes No Dog Size Small 1-10kg Medium 10-20kg Large 20kg+ Photo Any Specific Markings Name of Veterinary Surgeon Address of Practice Telephone Number Please give details of poor health / allergies and medication Time of feed Type of food and Quantity to be given Is your dog possessive over food? Yes No Is your dog allowed treats? Yes No Describe your dog’s level of obedience and any command words that your dog responds to Will you require your dog closed into any room on drop off? (Hall, Lounge, etc.) Does your dog go into a crate on drop off? Yes No Does your dog pull on a lead when out for walks? Yes No Do you grant permission for Dog in Black staff to eventually exercise your dog(s) off lead once confirmed via a phone call with yourself and the Dog In Black Head Carers Yes No Jump onto furniture? Often Occasionally Never Chew furniture? Often Occasionally Never Scratch at carpets or doors? Often Occasionally Never Jump up at people? Often Occasionally Never Bark at people? Often Occasionally Never Get motion sickness? Often Occasionally Never Pick up food/items off the floor? Often Occasionally Never Have a fear of public transport or cars? Often Occasionally Never Whine/bark on public transport? Often Occasionally Never Be timid around a new Carer? Often Occasionally Never Be nervous to walk away with a new Carer? Often Occasionally Never Be afraid/nervous if other dogs approach their home? Often Occasionally Never Show aggression towards dogs? Often Occasionally Never Show aggression towards people? Often Occasionally Never Be timid around people/dogs? Often Occasionally Never Urinate or defecate inside house? Often Occasionally Never Whine in the house? Often Occasionally Never Is your dog possessive or protective over toys, chews, collar etc? Yes No Is your dog possessive or protective over shared bowls, toys, treats etc Yes No Does your dog chew other things? E.g. pens, paper, small objects Yes No Please give details of any other information that would be relevant or useful I am happy for videos and photos of my dog to be posted onto the official Dog In Black Social Media (Without checking this box we will be unable to take photos of your pooch whilst in our care) Website Marketing Material Future Filming/Videos Consent I agree to the terms and conditions Ticking this section means that you have thoroughly read through our Terms and Conditions, including our Cancellation Policy You can watch a breakdown of your pooch’s day on our Instagram page: @doginblackadventures I agree to place, amend and cancel all bookings through the Dog In Black website (www.doginblack.co.uk) /email (bookings@doginblack.co.uk) and NOT through staff members Booking Details: Select Date/s for Indoor Daycare Add Another Date Dates Time Slot for Indoor Daycare 10:00 - 16:00 11:00 - 16:00 Other Time Yes Start Time End Time Select Date/s for Outdoor Daycare Add Another Date Dates Time Slot for Outdoor Daycare 10:00 - 16:00 11:00 - 16:00 Other Time Yes Start Time End Time Select Date/s for Dog Sitting Add Another Date Dates Start Time (Dog Sitting) End Time (Dog Sitting) Select Date/s for Dog Walking – Independent Walks Add Another Date Dates Time Slot ( Independent Walks) 09:00 - 11:00 11:00 - 14:00 14:00 - 16:00 16:00 - 18:00 Other Time Yes Start Time End Time Select Date/s for Dog Walking – Group Walks Add Another Date Dates Time Slot ( Group Walks) 09:00 - 11:00 11:00 - 14:00 14:00 - 16:00 16:00 - 18:00 Other Time Yes Start Time End Time Additional Information Send