Booking Form – Dog Walking Dog Walking Booking Form Please fill out this form to book in for us to come and walk your dog. We will get back to you within 24 hours to discuss and confirm your booking time and options. Your DetailsName*FirstLastPhone*Email*Enter EmailConfirm EmailAddress*Street AddressAddress Line 2CityAustralian Capital TerritoryNew South WalesNorthern TerritoryQueenslandSouth AustraliaTasmaniaVictoriaWestern AustraliaStatePost CodeEmergency Contact*FirstLastEmergency Contact Number*Your Dog's DetailsPet's Name*Breed(s)*Age*Sex*MaleFemaleIs your dog de-sexed?*YesNoVet Details*Name, Address & Phone number.Vaccination Date* Microchip/Council Tag NumberIf applicableBooking OptionsWhen RequiredDays and/or dates dog walking is required.Preferred Time* : HHMMAMPMTransport*Do you grant us permission to transport your dog in our vehicle?(required for trips to the beach, Park, etc.)YesNoTreats*Do you grant us permission to give your dog reward treats whilst out walking?YesNoPhotography*May we use photographs of your pet on our website and Facebook? We will only use photos from outside and will not use any photos that show your home.YesNoHealth Conditions and AllergiesPlease provide details of any health conditions and alergies we need to be aware of.Additional DogsAdditional Dog DetailsIf you have more than one pet, please add the additional pet details here.Terms and Conditions1. We will take every precaution to ensure your pet is happy and safe whilst in our care, but Melbourne Pet Minders will not accept responsibility for, loss/escapes, injuries, illness or any kind of death. 2. In the event that it is necessary for the proprietors of Melbourne Pet Minders to seek veterinary assistance without the consent of the client who may be unavailable to provide such consent, then the client agrees that the cost of any procedure undertaken as a result will be their full and financial responsibility. 3. Melbourne Pet Minders reserve the right to refuse any animal and no reason shall be given. 4. The owner acknowledges that the signing of this contract shall create a lien over the animal in favour of Melbourne Pet Minders, this lien shall continue to exist while ever monies are owing pursuant to the contract. 5. The client specifically represents that he or she is the sole owner of the pets free and clear of all liens and encumbrances *I agree to the terms and conditions.AcceptPhoneThis field is for validation purposes and should be left unchanged.