Update Booking

Booking Service

Email Address

Parent Name

Phone

Street Address

Zip/Postal Code

Dog Name

Breed

Date of Birth

Gender

Male Female

Sprayed/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

Select Date

Start Time

End Time

Time Slot

10:00 - 16:00 11:00 - 16:00

Time Slot

09:00 - 11:00 11:00 - 14:00 14:00 - 16:00 16:00 - 18:00

Additional Information

Important Information

Our Services