Dog Registration Form | Rain & Winds

Owners Name *

Mobile Number *

Email address *

Address *

Emergency Contact Name *

Emergency Contact Number *

Dog Name *

Dog Breed *

Dog Sex *

Intact Male
Intact Female
Neutered Male
Spayed Female

Is your dog fully vaccinated and had it's annual booster? *

Yes
No - If your dog is not fully vaccinated, walks may be adjusted accordingly. Rain & Winds cannot be held for responsible for illness arising where vaccination protection is incomplete.

Does your dog have a microchip with upto date information? *

Yes
No - Rain & Winds Pet Care cannot be held liable for issues arising from inaccurate or incomplete microchip information.

Known Medical Conditions (if none, please confirm) *

Allergies (if none, please confirm) *

Medications (If none, please confirm) *

Does your dog have any recall ability? *

Yes - Good Reliability
Yes - Unreliable
No

Cue to come back is... *

Name call
Whisle
Other

Further Recall Info

In a quet area with no distractions, dog will... *

Return on cue first time
Hesitate but return
Return after repeated cues
Ignore recall
Other

If other, please give further information

Dogs recall breaks when... *

Playing with other dogs
Sniffing/Tracking
High Arousal/excitement
Around livestock
Around water
Other

If other, please give further information

If someone enters home while my dog is alone, likely behaviour is that they *

Remain Calm
Get Excited
Get Nervous
Hide
Get Defensive
Other

If Other, please detail

When being left home alone my dog *

Settles Calmly
Remains Excited
Gets Nervous
Other

If other, please detail

Dogs behaviour when being left at home - Please provide as much detail as possible

My dog has shown guarding behaviour towards... *

Food/Treats
Toys
Beds
Space
Owner
Other Animals
Nothing
Other

If other, please detal

My dog is comfortable with... *

Paw Wiping
Towel Drying
Showering
Being lifted
Car/Crate travel
Vet Handling

Dog has touch sensitivities on.... *

Ears
Paws
Tail
Mouth
Collar Area
Back
Hips
None
Other

If other, please detail...

Behaviour at home - any additional notes

Has your dog ever shown reactive behaviour towards? *

Other dogs (on lead)
Other dogs (off lead)
Puppies
Large dogs
Small dogs
People (familiar)
People (unfamiliar)
Children
Men
Women
Cyclists
Joggers
Cars/traffic
Motorbikes
Livestock
Wildlife
Visitors to home
Delivery drivers
None
Other

If other, please specify...

Behaviours during Reactivity *

Barking
Lunging
Growling
Snapping
Freezing
Attempting to flee
None
Other

If other, please specify

Has your dog ever (or attempted to)... *

Bite a person
Bite another dog
Injure another animal
My dog has never displayed any aggressive behaviours

How would you describe your dog's lead walking? *

Excellent - walks calmly on loose lead
Good - Occasional pulling but responds to guidance
Fair - pulls at times, particularly when excited
Poor - frequently pulls on lead

Does your dog understand the following cues? *

Heel
Wait
Stop
Leave
This way/ Lets go

Please give any further details on commands if necessary

Equipment currently used *

Flat Collar
Harness
Head Collar
Slip Lead
Long Line
Other

If other, please give details

Please provide any supporting files (e.g. location of leads) *

Would you like updates on your dogs walking sessions? *

Yes please - every session
Occasional
Emergencies only

Confirmation of Information Accuracy *

I confirm that the information provided is accurate and complete to the best of my knowledge. I will notify Rain & Winds of any changes to this information.

Dog Registration - Information Form