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 our 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-sitter chooses appropriate walks for your dogs’ unique personality & abilities.

Reservation Form

Dog-Sitting Request

Office Use Only

Dog Sitter's Name

Start Time & Date

End Time & Date

Date

Please complete sections for each dog that will be in our care.
Note: Required sections are marked with *

Date Dogwalker Required *

# of days Dog Sitter needed *

# of Dogs for this Reservation *

Time Sitter Needed *

121234567891011 : 00153045 AMPM

Approx # of hours *

List all dates you need a Dog Sitter *

Dog #1 Information

Dog's Name *

Breed *

What breed is this dog?

Dog's Age *

(Indicate years or months)

Weight *

Pounds

Is your dog/s up to date with vaccines (distemper, parvovirus and hepatitis viruses, kennel cough)? *

Yes

No

Unsure

Great! Do you give us permission to take your dog to the dog park or where interactions with other dogs might occur? *

Yes

No

We will ensure your dog doesn't interact with other dogs. We will ensure your dog doesn't interact with other dogs.

Feeding Instructions / Treats *

Is your dog leash reactive? Is your dog triggered by: children, other dogs, cats, squirrels, bikes, noises etc.? *

Please describe.

Does your dog have a history of bolting out the door, food aggression, jumping, eating things they shouldn’t? *

Has your dog reacted to people or towards other dogs? Please describe.

How is your dog with children? *

What commands or cues does your dog know that you’d like your nanny to follow? *

Dog #2 Information

Dog's Name *

Breed *

What breed is this dog?

Dog's Age *

(Indicate years or months)

Weight *

Pounds

Is your dog/s up to date with vaccines (distemper, parvovirus and hepatitis viruses, kennel cough)? *

Yes

No

Unsure

Great! Do you give us permission to take your dog to the dog park or where interactions with other dogs might occur? *

Yes

No

We will ensure your dog doesn't interact with other dogs. We will ensure your dog doesn't interact with other dogs.

Feeding Instructions / Treats *

Is your dog leash reactive? Is your dog triggered by: children, other dogs, cats, squirrels, bikes, noises etc.? *

Please describe.

Does your dog have a history of bolting out the door, food aggression, jumping, eating things they shouldn’t? *

Has your dog reacted to people or towards other dogs? Please describe.

How is your dog with children? *

What commands or cues does your dog know that you’d like your nanny to follow? *

Dog #3 Information

Dog's Name *

Breed *

What breed is this dog?

Dog's Age *

(Indicate years or months)

Weight *

Pounds

Is your dog/s up to date with vaccines (distemper, parvovirus and hepatitis viruses, kennel cough)? *

Yes

No

Unsure

Great! Do you give us permission to take your dog to the dog park or where interactions with other dogs might occur? *

Yes

No

We will ensure your dog doesn't interact with other dogs. We will ensure your dog doesn't interact with other dogs.

Feeding Instructions / Treats *

Does your dog have a history of bolting out the door, food aggression, jumping, eating things they shouldn’t? *

Has your dog reacted to people or towards other dogs? Please describe.

Is your dog leash reactive? Is your dog triggered by: children, other dogs, cats, squirrels, bikes, noises etc.? *

Please describe.

How is your dog with children? *

What commands or cues does your dog know that you’d like your nanny to follow? *

Dog Owner Contact Information

Name *

*

Cell Phone Number *

Email Address *

Jasper Address / Hotel Name & Room Number *

Home Address *

Home Address

Home Address

Home Address

City

City

State/Province

State/Province

Zip/Postal

Zip/Postal

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Country

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.

Verify *

I have read the above release form.

Signature *

Clear

Check Box & Submit

If you are human, leave this field blank.