Adoggo - Client Consent Form

Adoggo - Client Consent Form

By completing this form, you agree to the Terms & Conditions of Adoggo - T&C's can be found here (copy+paste in new tab): http://www.adoggo.com/wp-content/uploads/2018/05/Adoggo-Terms-Conditions-May18.pdf
Dog's Name *
Dog's Age (approx. - DOB if know) *
Dog's Gender *

Male Female
Dog's Breed *
Neutered/Spayed *

Yes No
Vaccinated *

Yes No
Collar with tag *

Yes No
Can your dog(s) be walked with other dogs? *

Yes No Don't know
Can your dog(s) be walked off lead? *

Yes No Don't know
Are you permitting Adoggo to transport your dog(s) in a vehicle, safely and according to legislation? *

Yes No
Owner's Full Name(s) *
Email *
Address

Street Address

Street Address Line 2

City County

Postcode
Main Contact Number *
Emergency Contact Name & Number (in the event we are unable to contact the number above) *
Vet Practice Used *
Practice Address *
Practice Contact Number *
How would you like to be invoiced? *

Weekly Bi-weekly Monthly
Comments (any additional information you feel Adoggo should be aware of, e.g. health issues, allergies, recurring injuries)
Signature

Clear
Should be Empty:

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