Name:
Email Address:
Street Address
City
State
Zip Code
Home Phone:
Work Phone:
How did you hear about The Pet Butler?
Which Dog Walking package
are you interested in?
30-minute walks
1-hour walks
8 or more 30-minute walks per month
4 or more 1-hour walks per month
Each walk with Basic Obedience Training
I just want more information
Do you have a Security System?
No
Yes
Do you live in a gated community?
No
Yes
How many dogs do you want us to walk?
(Please note, if dogs are 60 lbs,
we will only walk 2 at a time.
We can alternate walks.)
1
2
3
4
Please list age of dogs:
Does your dog(s) walk well on a leash?
Yes
No
Let's discuss
Does your dog(s) show aggression
toward humans or other animals?
No
Yes
Let's discuss
Do any of your dogs have a medical condition?
Please explain:
Vet name, address and telephone number:
Are your dogs up-to-date on their shots?
Yes
No
Emergency contact if we can not reach you
while performing our dog walking service:
Best time and place to call you
(we do not call before 9 am or after 8 pm)
Morning home
Evening home
At work
Anytime
