Tell Us Your Needs

We Take Care of the Details

In order to best be prepared to look after your dog (s), please take the time to complete a Dog-walking / Dog-Sitting Request form. If you have more that one dog, the form allows you to add information for each individual dog. Please enter the details for each of your dogs on the one form to ensure that your dog-walker chooses appropriate walks for your dogs’ unique personality & abilities.

Dog-walking / Dog-Sitting Request

Reserve Your Dog-Walker

Please complete Child Information for each child who will be in Nanny Care & provide as much detail as possible

Approximate # of hours *

# of Dogs for this Reservation *

Time Dogwalker is Required * 12 1 2 3 4 5 6 7 8 9 10 11 : 00 30 AM PM

Date Dogwalker is Required *

Dog #1 Information

Dog's Name *

Breed *

What breed is this dog?

Dog's Age *

(Indicate years or months)

Weight *

Pounds

Feeding Instructions / Treats *

How is your dog on a leash? Can your dog react to certain people, situations, or places? Please describe (leash tangles, children, other dog breeds, the vet, being in a car, etc.) *

Dog #2 Information

Dog's Name *

Breed *

What breed is this dog?

Dog's Age *

(Indicate years or months)

Weight *

Pounds

Feeding Instructions / Treats *

How is your dog on a leash? Can your dog react to certain people, situations, or places? Please describe (leash tangles, children, other dog breeds, the vet, being in a car, etc.) *

Dog #3 Information

Dog's Name *

Breed *

What breed is this dog?

Dog's Age *

(Indicate years or months)

Weight *

Pounds

Feeding Instructions / Treats *

How is your dog on a leash? Can your dog react to certain people, situations, or places? Please describe (leash tangles, children, other dog breeds, the vet, being in a car, etc.) *

Dog #4 Information

Dog's Name *

Breed *

What breed is this dog?

Dog's Age *

(Indicate years or months)

Weight *

Pounds

Feeding Instructions / Treats *

How is your dog on a leash? Can your dog react to certain people, situations, or places? Please describe (leash tangles, children, other dog breeds, the vet, being in a car, etc.) *

Dog #5 Information

Dog's Name *

Breed *

What breed is this dog?

Dog's Age *

(Indicate years or months)

Weight *

Pounds

Feeding Instructions / Treats *

How is your dog on a leash? Can your dog react to certain people, situations, or places? Please describe (leash tangles, children, other dog breeds, the vet, being in a car, etc.) *

Dog Owner Contact Information

Name (s) *

Email Address *

Jasper Address / Hotel Name & Room Number *

Cell Phone Number *

Release Form

By my signature below, I: (1) Represent and warrant that I am at least 18 years old and that I am the legal owner of the dog(s) listed above (2) Acknowledge and agree that My Jasper Nanny is providing the dog sitting services I have requested (the “Services”); (3) Specifically acknowledge and agree that my Services provider will not feed my dog(s) other than with food I have left for that purpose; (4) Have provided my Services provider with all applicable medications, treats, foods that my dog(s) require, including those listed above; (5) Assume all risks associated with Services; (6) Authorize My Jasper Nanny to: (a) Care for the dog(s) listed above in my absence in my home, including my guest room and in Jasper dog friendly activities ; (b) Take those steps that it considers reasonable and necessary for the welfare of my dog(s), including transporting them for treatment to the local emergency facility if there is an injury or illness requiring same. (7) I waive and discharge all claims, suits, losses, damages, liabilities, and causes of action (“Claims”) I may have or incur against My Jasper Nanny, and all of the foregoing’s officers, directors, members, agents, successors and assigns (“Releasees”) arising out or relating to the Services, and release the Releasees and agree not to bring any Claims against them arising out of the Services, including any injury to my dog(s) or any other loss my dog(s) or I may sustain as a result of such Services. This release extends to Claims or portions of Claims that may arise out of or relate to the Releasee’s ordinary negligence. (8) Confirm that I have read and understood this Registration Form, including the waiver and release provisions, before signing it and have provided accurate and complete information about my dog(s); (9) Agree that the waiver and release described above will be binding upon my heirs, next of kin, executors, administrators and personal representatives. *

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Office Use Only

Dog-walker Name (Office Use Only)

Start Time & Date (Office Use Only)

End Time & Date (Office Use Only)