Application

Dog owner’s information:

Last name, First name(erforderlich)

Street address(erforderlich)

Zip code, City(erforderlich)

Telephone/Mobile(erforderlich)

Email address(erforderlich)

Information about your dog:

Name (erforderlich)

Breed(erforderlich)

Age(erforderlich)

Gender(erforderlich) Female Male

Spayed/Neutered (erforderlich) Yes No

Special preferences (e.g. ball games)

Handicaps (please describe them as accurately as possible, e.g. osteoarthritis on both hips)

Dog liability insurance company(erforderlich)

Dog insurance policy number(erforderlich)

Name, address and telephone number of veterinarian in charge

Immunization protection up to date/Titer determination available (erforderlich) Yes No

Please adhere to current legal provision as described in the German Federal State Dog Regulation Act...(erforderlich) Dog must be kept on a leash Muzzle required No requirements

 We (my dog and I) are interested in the following:

Dog walking service

Weekly contract

Monthly contract

Dog taxi

Dog sitting (according to prior agreement)

Diet/Nutritional counseling

Naturopathy monitoring/Treatment

How did you find out about us/this service ?(erforderlich) Recommended by friends Internet (Google Yahoo etc.) Facebook/ Twitter Advertisment/Flyer Other

Your personal message to us:

I herewith confirm that I have read, understood and agree with the general terms, data protection and conditions of Dogwalk Service – und mehr(erforderlich)

Please follow these links for the general terms and conditions and the current price list.

Important: This application is non-binding/non-committal. A contract will only be concluded after a personal meeting and requires a signature.

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