About Your Dog

Personal Details
Surname:
First Name:
Breed:
Age:
Sex:	Male Female
Neutered?	Yes No
Up-to-date vacination?	Yes No
Energy level:	Hyperactive High Medium Low Remedial
Sociability:	Good Poor
Obedience level:	Trained Average Poor Naughty
Health Details
Any health problems or disabilities?
Any allergies or phobias?
Any special requirements? (eg diet, medication)
Is there anything else we should know about, or do you have any questions?
Walks Required
Weekly Walks (days required):	Mon Tue Wed Thur Fri Sat Sun
or
Short Term (Specific dates):	Start: Finish:
Do you have a prefered pick-up time?	Yes No   (Time if Y)
Do you wish dog to be walked off leash?	Yes No
Type of Walk	Group Individual
Contact Details
Home Telephone Number
Mobile Telephone Number
Email Address
Your Village	Telscombe Telscombe Cliffs Peacehaven Saltdean Rottingdean Ovingdean Other
Other. Please specify:

When we have received your application we will be able to match your dog with a group of suitable dogs or arrange for one-to-one walks where appropraite.

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